Bifurcation aortic stent graft placement in a patient with abdominal aortic aneurysm and single kidney with renal artery stenosis

Abdominal aortic aneurysm (AAA) is the most common true arterial aneurysm with an estimated prevalence of 4-9%. Bilateral renal artery stenosis, or stenosis to a solitary functioning kidney, merits specific consideration because of its additional contribution to fluid retention, loss of kidney function, and congestive heart failure. Abdominal aortic aneurysms are managed according to their diameter and the presence or absence of symptoms. Endovascular aneurysm repair (EVAR) is associated with a lower risk of perioperative morbidity compared with open repair for asymptomatic, symptomatic, and ruptured AAA. We report here a case of symptomatic infrarenal abdominal aortic aneurysm with a single kidney, with stenosis of the renal artery supplying the solitary kidney managed by us with renal artery stenting and endovascular repair of the abdominal aortic aneurysm.