PMC9406513_01
Computed tomography angiography before surgery: coronal section, yellow arrows: kidney tumor; purple arrow: occlusion of the right common and external iliac arteries (A) and axial section, AAA with intraluminal thrombus; renal tumoral mass with central necrosis (B).
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F1
Doppler examination and computed tomography (CT) angiography jointly diagnosed right common and external iliac artery occlusion type D transAtlantic inter-society consensus (TASC), an infrarenal AAA with a 3- cm diameter with intraluminal thrombus, and a right renal tumor of 11.3/12/11 cm (anteroposterior/later-lateral/craniocaudal), with central necrosis (Figure 1).
Proximal anastomosis (intraoperative photo).
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F2
The graft was then tunneled retroperitoneally in a straight, non-kinked position, taking care of the angles of the proximal anastomosis (Figure 2).
CT angiographic after surgery: coronal section, purple arrows: reno-femoral permeable bypass (A) and 3D reconstruction, yellow arrow: right renal artery; purple arrows: reno-femoral permeable bypass (B).
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F3
Three-month postop control CT angiography showed a fully functional graft (Figure 3).