Horseshoe kidney transplantation

Zipitis, Christos S; Augustine, Titus; Tavakoli, A.; Surange, Raveendra; Agrawal, Amit; Riad, Hany

doi:10.1016/s1479-666x(03)80097-5

Cited by 9 publications

(10 citation statements)

References 17 publications

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“…The isthmus tends to have an increased potential of carcinoma development (11, 12). No case has been reported, but it seems likely to be found in the future due to immunosuppressive therapies (2). In this respect, using mTOR inhibitors may be helpful; a low incidence of cancer in a meta-analysis of more than 30,000 renal transplant patients was reported (13).…”

Section: Discussionmentioning

confidence: 99%

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Transplantation of a Horseshoe Kidney Found During Harvest Operation of a Cadaveric Donor: A Case Report

et al. 2014

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A 34-yr-old female was diagnosed as being brain dead. Preoperative ultrasound revealed no abnormal focal lesions. However, the horseshoe kidney was identified during organ harvest. En bloc nephrectomy was performed. The kidney was divided at the midline of isthmus. The divided right kidney was discarded due to numerous arteries and veins. The divided left kidney was transplanted. After declamping, the kidney was well perfused and started clearing. Resistive index was 0.72. Glomerular filtration ratio was 84.69 mL/min on postoperative day 14. The horseshoe kidney can be successfully transplanted and could be a good solution for the shortage of organ donors.Graphical Abstract

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Section: Discussionmentioning

confidence: 99%

“…The horseshoe kidney is one of the most common anatomical variations of the kidney with an incidence of one in every 600-800 individuals (1, 2), and is twice as commonly in males (3). It results from anomalous fusion at the lower poles (95% of cases) or at the upper poles.…”

Section: Introductionmentioning

confidence: 99%

Transplantation of a Horseshoe Kidney Found During Harvest Operation of a Cadaveric Donor: A Case Report

et al. 2014

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“…Horseshoe kidney is one of the most common anatomical variations of kidneys with an estimated incidence of 1 in 600–800 [1]. The anomaly of horseshoe kidney's anatomy results from anomalous fusion, mainly at the lower poles, occurring between the 4th and 6th weeks of gestation and its incidence is twice as often in men [2].…”

Section: Introductionmentioning

confidence: 99%

En bloctransplantation of horseshoe kidney in Korea

Bang

Lee

et al. 2017

Ann Surg Treat Res

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Transplantation of the horseshoe kidney can be performed en bloc or split into 2 grafts according to the vascular anomaly and the existence of the urinary collecting system in isthmus. From 2011 to 2014, there were 3 horseshoe kidney transplantations in Korea and transplantations were performed at 2 different centers. The transplantations were carried out successfully for all recipients without complications. All recipients have shown good graft kidney function after transplantation. No severe complication was revealed during follow-up period. We described the surgical technique used in the en bloc method to overcome various vascular anomalies and difficulties in choosing cannulation site and postoperative complications. En bloc transplantation of a horseshoe kidney is a useful strategy for patients with end-stage renal disease, and can provide favorable outcomes compared to the transplantation of a normal kidney.

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“…With an incidence of 1 in 600-800, the horseshoe kidney is one of the most common anatomical variations of the kidney [1,2]. It results from anomalous fusion, mainly at the lower poles, and in less than 5% of cases at the upper poles, occurring between the 4th and 6th weeks of gestation [3].…”

Section: Introductionmentioning

confidence: 99%

Horseshoe kidney for transplantation: Technical considerations

Hau

Morgül

Uhlmann

et al. 2012

Scandinavian Journal of Urology

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Owing to the ongoing shortage of cadaver organs, kidneys with an atypical anatomy such as horseshoe kidneys must be considered for transplantation. Owing to its low prevalence, experience with the transplantation of a horseshoe kidney is very limited. This article reports on the transplantation of a horseshoe kidney to a 58-year-old man with renal failure from chronic glomerulonephritis. Because of a relatively thick isthmus, which indicated a complex urinary collecting and intrarenal vessel system, the kidney was transplanted en bloc. Together with optimal placement of the kidney, only adequate length and positioning of the vessels, especially the venous drainage, could prevent postoperative complications such as kinking of the vessels and thrombosis. These problems could be solved by cutting the renal veins without using a vena cava patch. Careful positioning of the kidney within the intraperitoneal cavity is also necessary. The decision to transplant the kidney en bloc or after separation depends on many factors and should be made individually.

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Horseshoe kidney transplantation

Cited by 9 publications

References 17 publications

Transplantation of a Horseshoe Kidney Found During Harvest Operation of a Cadaveric Donor: A Case Report

Transplantation of a Horseshoe Kidney Found During Harvest Operation of a Cadaveric Donor: A Case Report

En bloctransplantation of horseshoe kidney in Korea

Horseshoe kidney for transplantation: Technical considerations

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