Document Detail

Abdominal aortic surgery with concomitant congenital renal fusion.
MedLine Citation:
PMID:  8518134     Owner:  NLM     Status:  MEDLINE    
The association between aortic pathology and congenital renal fusion adds little morbidity or mortality to the natural history of either entity. Nevertheless, it complicates the management of aortic pathology, specifically degenerative atherosclerotic disease. The therapeutic goal is to resect the aneurysm or bypass the occlusive segment while preserving renal function. Important principles in the management of these difficult patients include accurate preoperative detection and characterization of the renal abnormality, complete familiarity with the likely anatomic variations associated with this anomaly, adequate exposure of the aortic lesion while preserving renal perfusion, and avoidance of injury to a frequently abnormally located collecting system. In this review we report two cases of abdominal aortic aneurysm associated with congenital renal fusion. The principles of management are thoroughly discussed, and guidelines aimed at facilitating decisions made during the clinical treatment of these difficult patients are suggested.
W J Quiñones-Baldrich; M D Colburn; H A Gelabert
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  7     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-07-29     Completed Date:  1993-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  169-75     Citation Subset:  IM    
Department of Surgery, UCLA School of Medicine 90024-6904.
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MeSH Terms
Aorta, Abdominal / radiography
Aortic Aneurysm, Abdominal / complications,  radiography,  surgery*
Kidney / abnormalities*,  radiography
Middle Aged
Renal Artery / radiography

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