Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 720-724, March 2010

Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft

Department of Cardiovascular Surgery, GATA Haydarpasa Education Hospital, Istanbul, Turkey

Received 29 June 2009; accepted 8 September 2009. published online 25 November 2009.

Retrograde (proximal) migration of an abdominal aortic aneurysm endograft is an extremely rare event during endovascular insertion and may lead to occlusion of the bilateral renal arteries and dialysis-dependent renal failure. This case report describes the intraoperative retrograde migration of a bifurcated abdominal aortic endograft during the initial endovascular procedure after deployment of an extender limb graft into the right iliac artery and associated bilateral renal artery occlusion. This was treated with renal artery bypass, and the patient had a favorable outcome.

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 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01839-4

doi:10.1016/j.jvs.2009.09.009

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 720-724, March 2010

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