Postoperative “Chimney” for Unintentional Renal Artery Occlu
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Case Report
A 73-year-old man was admitted to our department with a diagnosis of an asymptomatic 57?mm fusiform abdominal aortic aneurysm (AAA). Medical history was notable for obesity, hypertension, chronic depressed (<30%) left heart dysfunction, and chronic obstructive pulmonary disease. Preoperative computed tomography angiographyhighlighted the presence of a hostile proximal aortic neck characterized by a reversed tapered shape plus an acute ?-angle > 60°. In the operating room, a 28?mm transrenal bifurcated EG (Endurant-Medtronic; Santa Rosa-CA; USA) was implanted through conventional bilateral groin cut-down. Final angiography confirmed the complete exclusion of the AAA with no evidence of proximal or distal endoleak, as well as the visualization of the renal arteries......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247940/
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