Iliorenal artery bypass grafting to facilitate endovascular abdominal aortic aneurysm repair

Peter H. Lin, Kenneth Madsen, Ruth L. Bush, Alan B. Lumsden

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Effective endovascular repair of an infrarenal abdominal aortic aneurysm (AAA) requires adequate proximal and distal landing zones to allow secure endograft attachment. We report a patient with an infrarenal AAA originating 3 mm below the left renal artery with cardiac morbidity that precluded open AAA repair. Left renal artery relocation with retroperitoneal iliorenal bypass grafting was performed to lengthen the proximal landing zone, which facilitated successful endovascular AAA repair. Postoperative surveillance after 3 years showed aneurysm reduction with a patent iliorenal bypass graft. This case underscores the utility of a combined open and endovascular approach in treatment of a challenging aortic aneurysm.

Original languageEnglish (US)
Pages (from-to)183-185
Number of pages3
JournalJournal of Vascular Surgery
Volume38
Issue number1
DOIs
StatePublished - Jul 2003

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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