Chronic Occlusion of Hypoplastic Aorta in a Patient with Right Renal Artery and Right Kidney Agenesis

Abstract

A 53-year-old woman presented in vascular emergency department with black change at the top of the right toe and blue staining fingers of the both foots. Patient was examined clinically, with CDS (Color Duplex Scan) and MSCT angiographic examination. It has been confirmed the absence of peripheral pulses of both legs, decreased ABI (right 0.23; left 0.35), thrombosis of the juxta- and infra-renal small sized aorta (diameter 16 mm just above LRA, 11 mm just bellow LRA and only 9 mm just above AB) and the absence of the right renal artery and right kidney. Patient was operated through transperitoneal approach and it has been performed thrombectomy and infrarenal aorta replacement with12 mm Dacron tubular graft.