Management of accessory renal arteries during aneurysm repair in a patient with end-stage renal failure

Abstract

The presence of accessory renal artery is a frequent anatomic variation that can challenge abdominal aortic aneurysm (AAA) repair. Here, we show an image of an abdominal aortic aneurysm extended to multiple accessory renal arteries in a patient known for an end-stage renal failure. This case raises the questions of the criteria that should be taken in consideration for an optimal management of accessory renal artery during AAA repair.

Keywords: Abdominal aortic aneurysm; Accessory renal artery; Aneurysm repair; Anévrisme aortique; Anévrisme de l’aorte abdominale; Aortic aneurysm; Artère rénale accessoire; Artère rénale polaire; Insuffisance rénale; Polar renal artery; Renal failure.