PMC3410721_01
Computed tomography scan: left renal artery stenotic ostium in aneurismal aortic tract.
ijgm-5-629f1.jpg
PMC3410721_01_ijgm-5-629f1.jpg
f1-ijgm-5-629
A 57-year-old obese female (body mass index 57.7), affected by chronic obstructive pulmonary disease, mild arterial hypertension, moderate renal failure (plasmatic creatinine 1.9 mg/dL, estimated glomerular filtration rate 58.8, calculated with the Chronic Kidney Disease Epidemiology Collaboration formula) with a complete occlusion of the right renal artery and a left renal artery severe stenosis (Figure 2) presented with a 58 mm thoracoabdominal aortic aneurysm (TAAA) (Figures 1 and 3).
Intraoperative angiogram: left renal artery stenosis.
ijgm-5-629f2.jpg
PMC3410721_01_ijgm-5-629f2.jpg
f2-ijgm-5-629
A 57-year-old obese female (body mass index 57.7), affected by chronic obstructive pulmonary disease, mild arterial hypertension, moderate renal failure (plasmatic creatinine 1.9 mg/dL, estimated glomerular filtration rate 58.8, calculated with the Chronic Kidney Disease Epidemiology Collaboration formula) with a complete occlusion of the right renal artery and a left renal artery severe stenosis (Figure 2) presented with a 58 mm thoracoabdominal aortic aneurysm (TAAA) (Figures 1 and 3).
Computed tomography scan: left common iliac artery occlusion and right iliac artery aneurysm.
ijgm-5-629f3.jpg
PMC3410721_01_ijgm-5-629f3.jpg
f3-ijgm-5-629
A 57-year-old obese female (body mass index 57.7), affected by chronic obstructive pulmonary disease, mild arterial hypertension, moderate renal failure (plasmatic creatinine 1.9 mg/dL, estimated glomerular filtration rate 58.8, calculated with the Chronic Kidney Disease Epidemiology Collaboration formula) with a complete occlusion of the right renal artery and a left renal artery severe stenosis (Figure 2) presented with a 58 mm thoracoabdominal aortic aneurysm (TAAA) (Figures 1 and 3). The left iliac artery (Figure 3) was occluded, and the patient suffered from a left leg disabling intermittent claudication.
Computed tomography scan: treated thoracoabdominal aortic aneurysm.
ijgm-5-629f5.jpg
PMC3410721_01_ijgm-5-629f5.jpg
f5-ijgm-5-629
Final angiograms showed normal patency of TAAA and visceral vessels (Figure 5). After 20 months, CTA showed good patency of the visceral vessels with complete TAAA exclusion (Figures 5 and 6).
Computed tomography scan: treated thoracoabdominal aortic aneurysm and right to left femoro-femoral bypass.
ijgm-5-629f6.jpg
PMC3410721_01_ijgm-5-629f6.jpg
f6-ijgm-5-629
After 20 months, CTA showed good patency of the visceral vessels with complete TAAA exclusion (Figures 5 and 6).