Ischemic Nephropathy Due To Porcelain Aorta And Coral Reef Plaque
Lauren Grimsley, MD, David J. Minion, MD.
University of Kentucky, LEXINGTON, KY, USA.
The video involves a case of ischemic nephropathy from severe aortic occlusive disease in a patient with recurrent decompensated heart failure, a creatinine of 3.95 and hyponatremia. CT angiography revealed severe calcific plaque of the entire abdominal aorta with near occlusive coral reef pathology and an atretic left renal artery and kidney. The video illustrates the technique of open endarterectomy using a thoracoabdominal approach. The case was complicated by early renal artery occlusion from an intimal flap requiring endovascular salvage.
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