Figure 1

Abdominal CT-angiography (CTA) of a 64-year old patient after EVAR with placement of GC into the left renal artery. A-B. Five months before presentation, during routine post-operative follow up and C-E. At presentation with malignant renovascular hypertension; A. Curved Multi Planar Reconstruction (cMPR) image showing a patent CG (arrow). B. A volume rendering image showing patent aortic stent-graft and patent CG (arrow) with symmetric enhancement of the two kidneys. C. cMPR image showing occluded CG with near complete occlusion of the left renal artery. A trickle of contrast is demonstrated in a distal segment of the artery. D. A volume rendering image showing the occluded CG with lack of enhancement of the left kidney. E. Axial image showing the occluded CG (short arrow) and small, shrunken non enhancing left kidney (long arrow).