PMC2822319_01
Transfemoral aortogram shows one renal artery from the abdominal aorta for the upper (right) kidney, and two renal arteries from the aneurysm and 1 renal artery from the left common iliac artery for the lower kidney (crossover left). (white arrows: renal arteries).
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F1
The patient underwent a transfemoral aortogram (Fig. 1) to evaluate the renal arterial anatomy.
Postoperative MR angiogram shows patent renal arteries. During operation, we dissected the lower 2 renal arteries (1 from the aneurysm itself, 1 from the left common iliac artery) and anastomosed the lowest renal artery (from the left common iliac artery) to middle renal artery (from the aneurysm itself) in a side-to-end fashion before aneurysm resection. (white arrows: renal arteries).
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F2
Magnetic resonance (MR) angiogram (Fig. 2) was taken two weeks after the operation and showed patent renal arteries and well perfused kidneys.