Tratamento endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Silvestre, Jose Manoel da Silva; Schimit, Gustavo Teixeira Fulton; Sardinha, Wander Eduardo; Silvestre, Guilherme da Silva; Tenório, Guilon Otávio Santos; Trevisan, Fernando Barbosa

doi:10.1590/s1677-54492013000100013

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…This study cooperate especially in surgical interventions, as well as in renal transplants and radiological studies. [9][10][11] The objective of the present study is to report the arteriovenous pattern found in the renal hilum in a case of horseshoe kidney.…”

Section: Introductionmentioning

confidence: 99%

Hilar Arteriovenous Pattern in a Case of Horseshoe Kidney

et al. 2018

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Horseshoe kidney is a poor congenital formation that results in the union of the lower poles of the kidneys through the fibrous isthmus that crosses the median line, with a prevalence of 0.25% (1 in 400 births), a higher rate in males (2:1 or 3:1), and an important variation in the arrangement of arteries and veins in the hilum. The present study aims to describe the arteriovenous pattern in the renal hilum in a case of horseshoe kidney. A conventional retroperitoneal dissection was performed in a 64-year-old female corpse of brown skin color, legally belonging to the Anatomy Laboratory of Unicastelo, Fernandópolis, state of São Paulo, Brazil, with causa mortis associated with uterine cancer. The dissection revealed a horseshoe kidney, with the right kidney measuring 5.69 cm, the left kidney measuring 11.65 cm, and the isthmus measuring 6.40 cm, and with the presence of a single right superior polar segmental artery (originated in the posterior aspect of the renal artery), of a double left superior polar segmental artery (originated in the renal artery, with one for each renal aspect), of one renal isthmus artery (originated in the posterior aspect of the abdominal aorta), and of one renal isthmus vein (left common iliac vein). Horseshoe kidney is a congenital abnormality whose arteries may originate from branches of the renal artery, of the inferior mesenteric artery, or of the iliac artery. Its veins drain into the renal vein, into the inferior vena cava, or into the iliac vein. It may be associated with hydronephrosis and nephroblastoma. However, no reports in the literature are found regarding the correlation with uterine cancer, highlighting the relevance of the hilar vascular pattern of the reported case.

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Section: Introductionmentioning

confidence: 99%

Hilar Arteriovenous Pattern in a Case of Horseshoe Kidney

et al. 2018

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“…2 Treatment of AAA in a patient with a horseshoe kidney involves certain peculiarities: 1) the renal parenchyma covering the AAA; 2) anomalies of renal arterial supply; and 3) anomalies related to the urinary collector system. 3…”

Section: Introductionmentioning

confidence: 99%

Aneurisma de aorta abdominal sintomático associado a rim em ferradura

et al. 2020

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Resumo O rim em ferradura é a anomalia congênita renal mais comum, ocorrendo em 0,15 a 0,25% de nascidos vivos. A associação de rim em ferradura com aneurisma de aorta abdominal é rara, estando presente em apenas 0,12% dos pacientes submetidos a tratamento dos aneurismas de aorta abdominal. Este desafio terapêutico consiste em um caso de um paciente portador de um aneurisma de aorta abdominal sintomático associado a rim em ferradura. A irrigação do rim em ferradura dava-se por meio de quatro artérias, sendo que duas delas emergiam diretamente do saco aneurismático. O caso foi solucionado por meio de cirurgia aberta, em caráter de urgência, com acesso transperitoneal, interposição de enxerto de Dacron bifurcado aorto bi-ilíaco e reimplante das duas artérias renais anômalas no corpo principal do Dacron. O paciente teve boa evolução pós-operatória, recebendo alta da unidade de tratamento intensivo no 3º dia e alta hospitalar no 8º dia, mantendo níveis normais de creatinina sérica.

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Tratamento endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Cited by 2 publications

References 16 publications

Hilar Arteriovenous Pattern in a Case of Horseshoe Kidney

Hilar Arteriovenous Pattern in a Case of Horseshoe Kidney

Aneurisma de aorta abdominal sintomático associado a rim em ferradura

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