{"title":"多囊肾病相关胸腹主动脉瘤混合修复术","authors":"A.H. Perera , E. Kashef , N. Courtois , J. Wolfe","doi":"10.1016/j.ejvsextra.2012.06.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>We report an incidental finding of a 9.8 cm Crawford type III thoraco-abdominal aortic aneurysm associated with autosomal dominant polycystic kidney disease (ADPKD).</p></div><div><h3>Case report</h3><p>CT imaging revealed a grossly enlarged polycystic liver and right kidney in a 54-year-old female. The patient had a complex medical history including end-stage renal failure requiring haemodialysis and chronic obstructive pulmonary disease. She had experienced back pain for eighteen months. This was attributed to a progression of pain secondary to abdominal polycystic disease and therefore not investigated. She had previously undergone a left nephrectomy. A single-stage hybrid approach with open retrograde visceral re-vascularisation and endovascular stenting was carried out successfully to treat the aneurysm.</p></div><div><h3>Discussion</h3><p>We report this case to highlight the association between aortic aneurysms and ADPKD, and we present a solution to the complex technical problem involved.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"24 3","pages":"Pages e13-e15"},"PeriodicalIF":0.0000,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.003","citationCount":"0","resultStr":"{\"title\":\"Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm Associated with Polycystic Kidney Disease\",\"authors\":\"A.H. Perera , E. Kashef , N. Courtois , J. Wolfe\",\"doi\":\"10.1016/j.ejvsextra.2012.06.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>We report an incidental finding of a 9.8 cm Crawford type III thoraco-abdominal aortic aneurysm associated with autosomal dominant polycystic kidney disease (ADPKD).</p></div><div><h3>Case report</h3><p>CT imaging revealed a grossly enlarged polycystic liver and right kidney in a 54-year-old female. The patient had a complex medical history including end-stage renal failure requiring haemodialysis and chronic obstructive pulmonary disease. She had experienced back pain for eighteen months. This was attributed to a progression of pain secondary to abdominal polycystic disease and therefore not investigated. She had previously undergone a left nephrectomy. A single-stage hybrid approach with open retrograde visceral re-vascularisation and endovascular stenting was carried out successfully to treat the aneurysm.</p></div><div><h3>Discussion</h3><p>We report this case to highlight the association between aortic aneurysms and ADPKD, and we present a solution to the complex technical problem involved.</p></div>\",\"PeriodicalId\":100397,\"journal\":{\"name\":\"EJVES Extra\",\"volume\":\"24 3\",\"pages\":\"Pages e13-e15\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.06.003\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EJVES Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1533316712000209\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316712000209","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Hybrid Repair of a Thoraco-abdominal Aortic Aneurysm Associated with Polycystic Kidney Disease
Introduction
We report an incidental finding of a 9.8 cm Crawford type III thoraco-abdominal aortic aneurysm associated with autosomal dominant polycystic kidney disease (ADPKD).
Case report
CT imaging revealed a grossly enlarged polycystic liver and right kidney in a 54-year-old female. The patient had a complex medical history including end-stage renal failure requiring haemodialysis and chronic obstructive pulmonary disease. She had experienced back pain for eighteen months. This was attributed to a progression of pain secondary to abdominal polycystic disease and therefore not investigated. She had previously undergone a left nephrectomy. A single-stage hybrid approach with open retrograde visceral re-vascularisation and endovascular stenting was carried out successfully to treat the aneurysm.
Discussion
We report this case to highlight the association between aortic aneurysms and ADPKD, and we present a solution to the complex technical problem involved.
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