Work

Fenestrated-branched endovascular repair of a complex abdominal aortic aneurysm in a patient with a pelvic kidney and left ventricular assist device

Year: 2026

Type: article

Abstract: Congenital pelvic kidney is a rare condition associated with variable arterial supply, which can significantly increase the complexity of abdominal aortic aneurysm repair, requiring careful operative planning and advanced techniques to maintain renal perfusion while achieving successful aneurysm exclusion. Here, we report the case of an elderly man with complex abdominal aortic aneurysm, congenital pelvic kidney, and a left ventricular assist device who underwent a successful fenestrated-branched endovascular aortic repair. This case illustrates the technical aspects of incorporating variant renal anatomy and expanding feasibility of fenestrated-branched endovascular aortic repair in patients with complex comorbidities.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102460

Authors: Abdul Kader Natour, Taleen MacArthur, Fahad Shuja, Bernardo C. Mendes

Institutions: Mayo Clinic, University of California, Los Angeles

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250