The accidental renal artery embolism in patient with aortoiliac occlusive disease with unilateral renal atrophy during aortobifemoral bypass graft: A case report

Chung, Mee Young; Cho, Eun jeong; Kim, Chang Jae; Chea, Jun Seuk; Park, Noh su; Lee, Byung Ho

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2011;6(3):253-257.
Published online July 30, 2011.

The accidental renal artery embolism in patient with aortoiliac occlusive disease with unilateral renal atrophy during aortobifemoral bypass graft: A case report

Mee Young Chung, Eun jeong Cho, Chang Jae Kim, Jun Seuk Chea, Noh su Park, Byung Ho Lee

Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. bhlee@catholic.ac.kr

Abstract

Aortoiliac occlusive disease occurs commonly in patients with peripheral arterial disease. Aortofemoral bypass is the most common surgical procedure to treat aortoiliac occlusive disease. Intraoperative renal artery embolism is rare complication that may occur during aortofemoral bypass in patients with aortoiliac occlusive disease. It is very important to prevent the risk of subsequent renal artery thrombotic or atheromatous embolism during aortofemoral bypass in patients with juxtarenal aortic occlusion because of accidentally dislodging fragments or atheromatous emboli into the renal arteries. Emboli to one or more major renal arteries are an occasional cause of renal failure. We report a case of renal artery embolism in patient with aortoiliac occlusive disease and unilateral renal atrophy during aortobifemoral bypass graft.

Key Words: Aortobifemoral bypass graft, Aortoiliac occlusive disease, Renal artery embolism