Multiple renal arteries are a common renal vascular variant. A study with 800 kidneys from cadaver donors demonstrated 1% prevalence of quadruple renal arteries. During thoracoabdominal aortic aneurysm (TAAA) repair, this anomaly implies longer time of renal ischemia and well-defined reperfusion strategy.2 Acute kidney injury during TAAA repair is a common complication with 6% to 7% incidence. It can be prevented by histidine-tryptophan-ketoglutarate solution (Custodiol; Dr Franz-Köhler Chemie GmbH, Bensheim, Germany) renal perfusion. We report successful organ preservation during TAAA open repair in a 61-year-old man with multiple renal arteries.
Tinelli, G., Scurto, L., Sica, S., Minelli, F., De Nigris, F., Tshomba, Y., Thoracoabdominal aortic aneurysm open repair with bilateral multiple renal arteries, <<JOURNAL OF VASCULAR SURGERY>>, 2020; 71 (2): 635-636. [doi:10.1016/j.jvs.2019.08.241] [http://hdl.handle.net/10807/149949]
Thoracoabdominal aortic aneurysm open repair with bilateral multiple renal arteries
Tinelli, Giovanni;Minelli, Fabrizio;Tshomba, Yamume
2020
Abstract
Multiple renal arteries are a common renal vascular variant. A study with 800 kidneys from cadaver donors demonstrated 1% prevalence of quadruple renal arteries. During thoracoabdominal aortic aneurysm (TAAA) repair, this anomaly implies longer time of renal ischemia and well-defined reperfusion strategy.2 Acute kidney injury during TAAA repair is a common complication with 6% to 7% incidence. It can be prevented by histidine-tryptophan-ketoglutarate solution (Custodiol; Dr Franz-Köhler Chemie GmbH, Bensheim, Germany) renal perfusion. We report successful organ preservation during TAAA open repair in a 61-year-old man with multiple renal arteries.
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