Aneurisma de aorta abdominal sintomático associado a rim em ferradura

Introduction. Reconstructive surgery of abdominal aortic aneurysms, despite significant international experience, remains one of the most complex issues of current vascular surgery, especially due to anatomical variability of arterial blood supply of the kidneys and abnormalities in their development, among which the most common is a horseshoe kidney. Features of vascularization, placement of the renal isthmus relative to the main vessels, the choice of the optimal method of abdominal aortic aneurysm reconstruction cause a high risk of surgery. The issues of open and endovascular aortic grafting, possibility of crossing the isthmus of the horseshoe kidney, feasibility of reconstruction of additional renal arteries still remain controversial. The aim. Improvement of the diagnosis and surgical treatment of abdominal aortic aneurysms with a horseshoe kidney. Case presentation. In our observation, in a 61-year-old patient, by clinical examination, laboratory and diagnostic imaging the diagnosis of two infrarenal abdominal aortic aneurysms with a horseshoe kidney was confirmed, that has become a direct indication for surgical intervention: exclusion of infrarenal aortic aneurysms from the blood flow, abdominal aortic prosthetic grafting with reimplantation of the renal isthmus arteries into the prosthetic graft. This clinical case confirms the advantages of open surgical technique, using transperitoneal approach, which not only provided sufficient exposure of the operating area, but also allowed to perform optimal reconstruction of the abdominal aorta without crossing the functioning isthmus of the horseshoe kidney with preservation of blood flow through additional renal arteries. Conclusion. Careful preoperative assessment of the peculiarities of the blood supply of the horseshoe kidney with coexistent abdominal aortic aneurysms allows to optimize the tactics of surgical treatment, prevent the development of severe complications and achieve complete recovery of the patient.

show abstract

Features of Diagnosis and Surgical Treatment of Abdominal Aortic Aneurysms with a Horseshoe Kidney

Kobza

Mota

Kobza

2022

ujcvs

View full text Add to dashboard Cite

show abstract

Achados Incidentais De Aneurismas De Aorta Abdominal

Isaque Lannd Carvalho Bezerra Bonfim,

Jessyk Maria Lopes Nunes,

Pereira Alves

et al. 2024

RMNM

View full text Add to dashboard Cite

A doença aneurismática consiste em uma dilatação arterial de diâmetro igual ou superior a 50% do diâmetro arterial proximal ou normal das camadas dos vasos. Os aneurismas de aorta abdominal (AAA) são graves, silenciosos e ameaçam potencialmente a vida. O objetivo desse trabalho foi avaliar a prevalência de diagnóstico incidental de AAA em tomografias computadorizadas de abdômen (TC) e ultrassonografias abdominais (US) em um centro de referência de exames de imagem particular e conveniada ao SUS, na cidade de Parnaíba-PI. Foram analisados um total de 3847 laudos de TC e US de pacientes (idade igual ou superior a 50 anos) no período de 1 de Janeiro de 2020 a 1 de Janeiro de 2021. Os exames foram analisados quanto à presença de ateroma aórtico e de AAA. Os laudos foram coletados de forma manual e classificados pela presença de ateroma ou aneurisma, ambos na aorta abdominal por meio de um software de rastreio de dados. Pode-se observar que, a prevalência de ateromatose foi de 23,7% de todos os exames. Dos 139 exames, a faixa etária masculina mais acometida foi de 60 a 79 com 25 laudos confirmados. Em relação aos exames de pacientes do sexo feminino a faixa etária mais prevalente foi a mesma, de 60 a 79 anos, com 57 exames confirmados Do total de 585 laudos analisados foram encontrados 6 aneurismas (1,02 % de prevalência ). A dilatação fusiforme é a mais comum corroborando com os resultados encontrados na literatura.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Aneurisma de aorta abdominal sintomático associado a rim em ferradura

Cited by 2 publications

References 8 publications

Features of Diagnosis and Surgical Treatment of Abdominal Aortic Aneurysms with a Horseshoe Kidney

Features of Diagnosis and Surgical Treatment of Abdominal Aortic Aneurysms with a Horseshoe Kidney

Achados Incidentais De Aneurismas De Aorta Abdominal

Contact Info

Product

Resources

About