Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Jan 28;7(2):277-279.
doi: 10.1016/j.jvscit.2020.12.011. eCollection 2021 Jun.

Aortoiliac endarterectomy as a viable alternative for revascularization in a woman with isolated aortoiliac disease and an anomalous right pelvic kidney

Amanda M Rushing  1 , Tapash K Palit  2 , Malachi G Sheahan 3rd  2
Affiliations
Case Reports

Aortoiliac endarterectomy as a viable alternative for revascularization in a woman with isolated aortoiliac disease and an anomalous right pelvic kidney

Amanda M Rushing et al. J Vasc Surg Cases Innov Tech. .

Abstract

Although the use of aortoiliac endarterectomy to treat occlusive disease has declined since the advent of endovascular procedures and operative bypass grafting techniques, clinical scenarios still exist in which it can be useful. We present the case of a patient with right lower extremity pain at rest, an anomalous right pelvic kidney, right common iliac artery occlusion, and severe left common iliac artery stenosis. We have demonstrated that aortoiliac endarterectomy should not be considered an outdated surgical technique but a viable alternative for revascularization in a specific subset of patients.

Keywords: Aberrant renal artery; Aortoiliac endarterectomy; Aortoiliac occlusive disease; Pelvic kidney.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Three-dimensional reconstruction of computed tomography angiogram illustrating right common iliac artery occlusion and right pelvic kidney.
Fig 2
Fig 2
Aortogram showing a patent aorta, celiac artery, and superior mesenteric artery.
Fig 3
Fig 3
View after aortoiliac endarterectomy (AIE) and patch closure. IMA, Inferior mesenteric artery; LCIV, left common iliac vein; RRV, right renal vein.
See this image and copyright information in PMC

References

    1. Kashyap V.S., Pavkov M.L., Bena J.F., Sarac T.P., O'Hara P.J., Lyden S.P. The management of severe aortoiliac occlusive disease: endovascular therapy rivals open reconstruction. J Vasc Surg. 2008;48:1451–1457. - PubMed
    1. Upchurch G.R., Dimick J.B., Wainess R.M., Eliason J.L., Henke P.K., Cowan J.A. Diffusion of new technology in health care: the case of aorto-iliac occlusive disease. Surgery. 2004;136:812–818. - PubMed
    1. Connolly J.E., Price T. Aortoiliac endarterectomy: a lost art? Ann Vasc Surg. 2006;20:56–62. - PubMed
    1. Back M.R., Johnson B.L., Shames M.L., Bandyk D.F. Evolving complexity of open aortofemoral reconstruction done for occlusive disease in the endovascular era. Ann Vasc Surg. 2003;17:596–603. - PubMed
    1. Van der Akker P.J., van Schilfgaarde R., Brand R., van Bockel H.J., Terpstra J.L. Long-term results of prosthetic and non-prosthetic reconstruction for obstructive aortoiliac disease. Eur J Vasc Surg. 1992;6:53–61. - PubMed

Publication types

LinkOut - more resources