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Peer-reviewedCC BY-NC-NDJournal of Vascular Surgery Cases and Innovative Techniques

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

  1. 1Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN
  2. 2Division of Vascular and Endovascular Surgery, University of California - Los Angeles, Los Angeles, CA; Correspondence: Bernardo C. Mendes, MD, Division of Vascular and Endovascular Surgery, University of California, Los Angeles, Gonda Vascular Center, 200 Medical Plaza, Ste 526, Los Angeles, CA 90095

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.

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BibTeX
@article{abdulkadernatour2026fenestratedbranched,
  title = {{Fenestrated-branched endovascular repair of a complex abdominal aortic aneurysm in a patient with a pelvic kidney and left ventricular assist device}},
  author = {Abdul Kader Natour, MD and Taleen MacArthur, MD and Fahad Shuja, MBBS and Bernardo C. Mendes, MD},
  journal = {Journal of Vascular Surgery Cases and Innovative Techniques},
  year = {2026},
  month = aug,
  doi = {10.1016/j.jvscit.2026.102460},
  url = {https://doi.org/10.1016/j.jvscit.2026.102460},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Fenestrated-branched endovascular repair of a complex abdominal aortic aneurysm in a patient with a pelvic kidney and left ventricular assist device
AU  - Abdul Kader Natour, MD
AU  - Taleen MacArthur, MD
AU  - Fahad Shuja, MBBS
AU  - Bernardo C. Mendes, MD
PY  - 2026
DA  - 2026/08/22
JO  - Journal of Vascular Surgery Cases and Innovative Techniques
DO  - 10.1016/j.jvscit.2026.102460
UR  - https://doi.org/10.1016/j.jvscit.2026.102460
AB  - 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.
SN  - 2468-4287
ER  -