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- Title
Ruptured Abdominal Aortic Aneurysm and Horseshoe Kidney: Isthmus Sectioning By Endo GIA.
- Authors
Gabriele, Pagliariccio; Emanuele, Gatta; Grilli Cicilioni, Carlo; Sara, Schiavon; Luciano, Carbonari
- Abstract
Introduction: A 90-year-old patient was admitted with a hemorrhagic shock from a huge ruptured abdominal aortic aneurysm with an unfavourable infrarenal aortic neck and a horseshoe kidney (HSK). Report: We decided on an open surgical approach: the HSK isthmus was sectioned with an Endo GIA 45 mm, and we performed a suprarenal aortic cross-clamping and an aortic graft reconstruction. Postoperatively, no urinary leakage was detected, and renal function showed no impairment. The patient died on the 10th postoperative day from pneumonia. Conclusion: We believe that the sectioning of the HSK isthmus with Endo GIA is a fast and simple maneouvre.
- Subjects
PNEUMONIA-related mortality; ABDOMINAL aortic aneurysms; GENITOURINARY organ abnormalities; HEMORRHAGIC shock; STAPLERS (Surgery); SURGICAL complications; TREATMENT effectiveness; AORTIC rupture; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2019, Vol 53, Issue 7, p599
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574419859451