Splenorenal bypass in suprarenal aneurysm with solitary left kidney: a case report
Derivação esplenorrenal para tratamento de aneurisma suprarrenal com rim esquerdo solitário: relato de caso
Utkarsh Anand; Gokulakrishnan Hari; Vishesh Gupta; Varsha Khandelwal; Tanuj Singla; Ujjwal Gorsi; Ajay Savlania
Abstract
Keywords
Resumo
A revascularização renal em pacientes com rim solitário funcional e aneurisma de aorta abdominal (AAA) suprarrenal representa um desafio cirúrgico devido ao risco de isquemia e disfunção renal pós-operatória. Apresentamos o caso singular de um homem de 69 anos com rim esquerdo único e AAA suprarrenal, tratado com sucesso com anastomose preemptiva entre a artéria renal esquerda e a artéria esplênica (derivação esplenorrenal), seguida de aneurismorrafia. Essa abordagem preservou a função renal e evitou insulto isquêmico durante a reconstrução aórtica. Após 2 anos de acompanhamento, o paciente mantém parâmetros renais estáveis e reconstrução pérvia, reforçando a utilidade da derivação esplenorrenal como alternativa viável em cenários anatomicamente restritos e de alto risco.
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References
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Submitted date:
05/26/2025
Accepted date:
08/20/2025
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