Peer-reviewedCC BY-NC-NDJournal of Vascular Surgery Cases and Innovative Techniques
Hybrid repair using an aortouniiliac stent graft and femorofemoral bypass for a right common iliac artery aneurysm in a patient with a horseshoe kidney
4 affiliations
- 1Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
- 2Department of Cardiovascular and Thoracic Surgery, School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
- 3Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; Department of Health Management, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
- 4Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; Correspondence: Le Phi Long, MD, PhD, Thoracic and Vascular Department, University Medical Center HCMC, University of Medicine and Pharmacy at Ho Chi Minh City, 215 Hong Bang, Cho Lon ward, Ho Chi Minh City 72723, Vietnam
Abstract
Hybrid repair may be required when iliac aneurysm anatomy is complicated by horseshoe kidney and aberrant renal arteries. We report a 70-year-old man with an approximately 5-cm right common iliac artery aneurysm, horseshoe kidney, and a dominant low-origin accessory renal artery limiting the proximal sealing zone for standard bifurcated endovascular aneurysm repair. An anatomy-driven hybrid strategy using an aortouniiliac stent graft, right internal iliac artery embolization, left common iliac artery occlusion, and femorofemoral bypass achieved aneurysm exclusion without endoleak. One-month computed tomography angiography confirmed stable graft position, bypass patency, and preserved renal and pelvic perfusion.
Related
- Hybrid Occipital Artery–AICA Bypass Followed by Endovascular Embolization for a Radiation-Induced Dissecting AICA Aneurysm in a Pediatric Patient
- Xanthogranulomatous Pyelonephritis in a Horseshoe Kidney: Effective Conservative Therapy in an Immunocompromised Patient
- Laparoscopic Right Hemicolectomy Using a Fluorescent Ureteral Catheter for Ascending Colon Metastasis of Endometrial Cancer in a Patient with Horseshoe Kidney: A Case Report.
- Hybrid approach with thoracic endovascular treatment and abdominal aortic replacement for acute type B aortic dissection complicated by ruptured abdominal aortic aneurysm
- Median Arcuate Ligament Syndrome in an Elderly Patient: A Symptomatic Post-stenotic Aneurysm and Systemic Atherothrombotic Disease
BibTeX
@article{lequangdinh2026hybrid,
title = {{Hybrid repair using an aortouniiliac stent graft and femorofemoral bypass for a right common iliac artery aneurysm in a patient with a horseshoe kidney}},
author = {Le Quang Dinh, MD, PhD and Ly Tri Hao, MD and Nguyen Dinh Phat, MD, MSc and Ho Tat Bang, MD, PhD and Le Phi Long, MD, PhD},
journal = {Journal of Vascular Surgery Cases and Innovative Techniques},
year = {2026},
month = sep,
doi = {10.1016/j.jvscit.2026.102519},
url = {https://doi.org/10.1016/j.jvscit.2026.102519},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Hybrid repair using an aortouniiliac stent graft and femorofemoral bypass for a right common iliac artery aneurysm in a patient with a horseshoe kidney
AU - Le Quang Dinh, MD, PhD
AU - Ly Tri Hao, MD
AU - Nguyen Dinh Phat, MD, MSc
AU - Ho Tat Bang, MD, PhD
AU - Le Phi Long, MD, PhD
PY - 2026
DA - 2026/09/19
JO - Journal of Vascular Surgery Cases and Innovative Techniques
DO - 10.1016/j.jvscit.2026.102519
UR - https://doi.org/10.1016/j.jvscit.2026.102519
AB - Hybrid repair may be required when iliac aneurysm anatomy is complicated by horseshoe kidney and aberrant renal arteries. We report a 70-year-old man with an approximately 5-cm right common iliac artery aneurysm, horseshoe kidney, and a dominant low-origin accessory renal artery limiting the proximal sealing zone for standard bifurcated endovascular aneurysm repair. An anatomy-driven hybrid strategy using an aortouniiliac stent graft, right internal iliac artery embolization, left common iliac artery occlusion, and femorofemoral bypass achieved aneurysm exclusion without endoleak. One-month computed tomography angiography confirmed stable graft position, bypass patency, and preserved renal and pelvic perfusion.
SN - 2468-4287
ER -