肾动脉再植入术治疗腹主动脉瘤并发交叉融合肾异位的中期随访

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-02-19 DOI:10.1016/j.jvscit.2025.101751

Diego Soto V MD , Gabriel Cassorla J MD , Francisco Goyenechea M MD , Cristian Marín O MD , Sebastián Morales Z MD , Gabriel Seguel S MD

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引用次数: 0

摘要

交叉融合肾异位是一种罕见的先天性疾病，它与腹主动脉瘤的关联可以呈现复杂的手术场景。我们报告一例71岁男性腹主动脉瘤合并肾交叉融合异位患者，接受开放手术修复肾动脉再植，使用甘露醇输注和冷晶体灌注进行肾保护。术后一过性肌酐升高，肾功能恢复正常，无需透析。随访24个月，移植肾动脉通畅，肾功能正常。本病例说明了开放性手术修复在解决复杂血管解剖、确保持久结果、保持血管通畅和肾功能方面的有效性。

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Mid-term follow-up of renal artery reimplant in open surgical repair for abdominal aortic aneurysm with a crossed-fused renal ectopia

Crossed-fused renal ectopia is an uncommon congenital condition, and its association with abdominal aortic aneurysm can present a complex surgical scenario. We present a case of a 71-year-old male with abdominal aortic aneurysm and crossed-fused renal ectopia who underwent open surgical repair with renal artery reimplantation, using mannitol infusion and cold crystalloid perfusion for renal protection. Postoperatively, after transient creatinine rise, renal function normalized without dialysis. At 24 months follow-up, the reimplanted renal artery remains patent with normal renal function. This case illustrates open surgical repair’s effectiveness in addressing complex vascular anatomy, ensuring durable outcomes, and preserving vessel patency and renal function.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.