Surgical management of aortic aneurysm and coexistent horseshoe kidney: Review of a 31-year experience

Abstract

The most important aspect of HSK, therefore, is the appropriate surgical management of frequent renal artery anomalies. We currently believe this is best achieved with retroperitoneal exposure.

Surgical Treatment of Abdominal Aortic Aneurysm Associated with Horseshoe Kidney: Symphysiotomy Using Harmonic Focus

“…However, accessory renal arteries of significant size should be preserved to prevent renal infarctions. 2) The isthmus that connects the lower renal poles in horseshow kidney may either be a fibrous band or contain functional parenchymal tissue. Successful surgical repair of the abdominal aorta, with or without division of the renal isthmus, has been previously reported.…”

“…The left extraperitoneal approach appears, to date, to be well tolerated and is recommended in patients with a horseshoe kidney since it avoids interference with the renal isthmus, the urinary tract, and the renal vessels. 2,3) However, reaching the right iliac vessels via this approach is not easy. 2,4) The transperitoneal approach assures the best exposure of the kidney, the ureters, the aneurysm, and both iliac vessels; however, the renal isthmus can pose a problem in reimplanting aberrant renal arteries.…”

“…2,3) However, reaching the right iliac vessels via this approach is not easy. 2,4) The transperitoneal approach assures the best exposure of the kidney, the ureters, the aneurysm, and both iliac vessels; however, the renal isthmus can pose a problem in reimplanting aberrant renal arteries. 4) We therefore used a median laparotomy as the surgical approach since it easily exposes both the iliac axes.…”

Abdominal Aortic Aneurysm Complicated by Intestinal Malrotation

“…Abdominal aortic aneurysm (AAA) is common vascular disease, but coexistence of anomalies of adjacent organs, such as retroaortic renal vein, 1) double inferior vena cava, 1,2) preaortic iliac vein confl uence, 1,2) horseshoe kidney, 3) or ectopic kidney, 4) need the special considerations. Intestinal malrotation (IM) is an anomaly of fetal intestinal rotation, occurring in about one in 6000 live births.…”

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

“…Its rate of occurrence ranges from 0.15% to 0.8%, which corresponds to 1 in every 400 people [5,6]. Horseshoe kidney associated with abdominal aortic aneurysm (AAA) is rare: it is found in about 1 in every 710 autopsied cases, and in only 0.12% of the patients that undergo AAA repair [1,7,8].…”