Abstract
In an 84-year-old man, CT demonstrated a 60 mm abdominal aortic aneurysm and the right pelvic kidney. The right renal artery originated from the aorto-iliac bifurcation. We performed trifurcated graft replacement and an anastomosis of the right renal artery reconstruction. For renal preservation, the right renal artery was perfused with cold Ringer’s solution using a rapid infusion pump and coronary perfusion cannula. Postoperatively he had an uneventful course without renal dysfunction. In a surgery of an abdominal aortic aneurysm with congenital renal anomaly, continuous perfusion of the renal artery with cold Ringer’s solution is simple and appropriate for renal protection.
