Thoracoabdominal aortic aneurysm open repair with bilateral multiple renal arteries

Multiple renal arteries are a common renal vascular variant. A study with 800 kidneys from cadaver donors demonstrated 1% prevalence of quadruple renal arteries.1 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.3,4 It can be prevented by histidine-tryptophan-ketoglutarate solution (Custodiol; Dr Franz-K öhler Chemie GmbH, Bensheim, Germany) renal perfusion.

Source: Journal of Vascular Surgery - January 22, 2020 Category: Surgery Authors: Giovanni Tinelli, Lucia Scurto, Simona Sica, Fabrizio Minelli, Francesca De Nigris, Yamume Tshomba Tags: Vascular images Source Type: research