ABDOMINAL AORTIC-ANEURYSM AND CONGENITAL PELVIC KIDNEY - A RARE ASSOCIATION

We report the case of a 65-year-old man who presented with an infraren al aortic aneurysm in association with a congenital right pelvic kidne y vascularized by 2 aortic arteries, I of which arose from the aneurys mal aorta and the other from the common right iliac artery. Successful surgery consisted of excising the aneurysmal aortic segment and repla cing it with a Dacron tube graft, then implanting the upper renal arte ry (supplemented by a short segment of saphenous venous graft) in She Dacron prosthesis. We review 6 other cases of this rare pathologic ass ociation, found in our search of the literature, and discuss technique s of renal protection and (when necessary) reimplantation of the anoma lous arteries.