Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft Kaan Inan, MD, Alper Ucak, MD,

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Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft Kaan Inan, MD, Alper Ucak, MD, Burak Onan, MD, Veysel Temizkan, MD, Murat Ugur, MD, Ahmet Turan Yilmaz, MD Journal of Vascular Surgery Volume 51, Issue 3, Pages 720-724 (March 2010) DOI: 10.1016/j.jvs.2009.09.009 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Image shows an infrarenal abdominal aortic aneurysm. The neck was 13 mm inferior to the lowest renal artery. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Computed tomography slices show the preoperative anatomy of the infrarenal abdominal aortic aneurysm that makes an angulation at the neck region. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Intraoperative angiogram shows the abdominal aortic aneurysm. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative angiogram demonstrates (A) the patency of both renal arteries after deployment of the endograft body and (B) occlusion of the vessels after placement of iliac artery extension limb graft. LRA, Left renal artery; RRA, right renal artery; SMA, superior mesenteric artery. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Postoperative computed tomography angiogram demonstrates revascularization of the (A) left and (B) right renal arteries with synthetic graft interposition. LRA, Left renal artery; RRA, right renal artery. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 6 Postoperative 3-dimensional reconstructed computed tomography angiogram demonstrates the aortorenal artery bypass and the bifurcated endograft covering the origins of the renal arteries. LRA, Left renal artery; RRA, right renal artery; SMA, superior mesenteric artery. Journal of Vascular Surgery 2010 51, 720-724DOI: (10.1016/j.jvs.2009.09.009) Copyright © 2010 Society for Vascular Surgery Terms and Conditions