Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Giornale Italiano di Chirurgia Vascolare 2000 March;7(1) > Giornale Italiano di Chirurgia Vascolare 2000 March;7(1):53-64

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus


eTOC

 

CLINICAL CASES  


Giornale Italiano di Chirurgia Vascolare 2000 March;7(1):53-64

language: English, Italian

Obstructive atherosclerotic disease of juxtarenal aorta. Case report and technical comments on surgical approach

Mavaro G., Martino A., Pumilia G., De Stefani S., La Barbera G.

From the Divis­ione di Chi­rur­gia Vas­co­lare (Prim­a­rio ­Dott. A. Mar­ti­no) Azien­da Osped­a­lie­ra Civ­i­co Ben­fra­tel­li, Paler­mo, Ita­ly


PDF  


Back­ground. In approx­i­mate­ly 5% of ­patients, obstruc­tive ath­e­ros­cle­rot­ic ­lesions of the abdom­i­nal aor­ta are local­ized at the jux­ta­ren­al lev­el. Revas­cu­lar­iza­tion in ­these cas­es ­includes tech­ni­cal var­i­ants depend­ing on the ­need for suprar­en­al clamp­ing. The ­authors ­describe a ­case of jux­ta­ren­al aor­tic occlu­sion and pro­vide a ­detailed descrip­tion of the par­tic­u­lar sur­gi­cal tech­nique ­used, com­par­ing the ­results ­with ­those report­ed in stud­ies emerg­ing ­from a “Med­line” ­search for the peri­od 1989-1999.
­Case ­report. A ­female 55-­year-old ­patient suf­fer­ing ­from bilat­er­al glu­teal claud­i­ca­tion, who had under­gone neph­rec­to­my 25 ­years ear­li­er for kid­ney dona­tion, was hos­pi­tal­ized fol­low­ing the ­onset of rest­ing ­pain ­over the ­past few ­months. Arter­i­og­ra­phy ­showed obstruc­tion of the jux­ta­ren­al abdom­i­nal aor­ta and the ­iliac ­axes. The ­patient under­went aor­to­bif­e­mo­ral ­bypass fol­low­ing suprar­en­al aor­tic clamp­ing.
­Results. No anom­a­lous ­renal func­tion was ­observed post­op­er­a­tive­ly in ­spite of suprar­en­al aor­tic clamp­ing ­with down­stream ische­mia last­ing 15 min­utes. Lym­phor­rhage aor­tic drain­age from ­resolved spon­ta­ne­ous­ly on day 14. The ­patient was dis­missed on day 18.
Con­clu­sions. If car­ried out in com­pli­ance ­with a num­ber of sur­gi­cal require­ments, suprar­en­al aor­tic clamp­ing ­allows obstruc­tive ­lesions of the jux­ta­ren­al abdom­i­nal aor­ta to be treat­ed ­with the min­i­mum ­risk of ­renal ischem­ic ­lesions.

top of page

Publication History

Cite this article as

Corresponding author e-mail