Surgeon-modified grafts in the treatment of abdominal aortic aneurysm in combination with ectopic kidney – a clinical case
Bulgarian Medical Journal, 2025, 19(4), 66-68.
N. Kolev1, T. Samardjiev2, S. Marangozov1, T. Naydenova1, P. Marmarov1, K. Guirov1
1Clinic of Vascular Surgery, Militаry Medical Academy – Sofia
2Clinic of Vascular Surgery, MHAT “Heart and Brain” – Pleven
Abstract. The surgeon-modified endograft is intended for endovascular treatment of complex, infrarenal, juxtarenal, and thoracoabdominal aortic aneurysms requiring preservation of the renal and visceral vessels. This requires prior CT angiography and detailed anatomical imaging of the aorta and its branches. Modified grafts are extremely convenient to use in many non-standard cases, such as an ectopic renal artery emerging from the aneurysmal sac.
Key words: surgeon-modified endograft, endovascular treatment, ectopic renal artery
Address for correspondence: Petar Marmarov, MD, e-mail: drmarmarov@gmail.com