The Arterial Supply of Horseshoe Kidneys

Boatman, D.L.; Cornell, Steven H.; Kölln, C.P.

doi:10.2214/ajr.113.3.447

Cited by 75 publications

(45 citation statements)

References 10 publications

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“…12 Concerning blood supply, the horse shoe kidney shows renal artery anomalies, 6,9 some of which may have an anomalous origin related to embryologic development. 13 The present case showed vascular anomaly with two left renal arteries.…”

Section: Embryogenesissupporting

confidence: 45%

Horseshoe kidney - a case report

Mandhane¹,

Ansari²,

Shaikh³

et al. 2015

Int J Res Med Sci

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Section: Embryogenesissupporting

confidence: 45%

Horseshoe kidney - a case report

Mandhane¹,

Ansari²,

Shaikh³

et al. 2015

Int J Res Med Sci

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“…Boatman's classification consists of six types of vascularization. 15 In type A, there is one renal artery supplying each side of the horseshoe kidney; in type B, there are two renal arteries supplying each side of the kidney; in type C, there is one renal artery supplying each side of the kidney and an isthmus branch; in type D, there are two renal arteries supplying each side of the kidney and an isthmus branch; in type E, there are there renal arteries supplying each side of the kidney and renal arteries arising from the iliac arteries; and in type F, there are two renal arteries supplying each side of the kidney, an isthmus branch, and renal arteries arising from the iliac arteries.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with Horseshoe Kidney: Report of a Case

et al. 2006

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Horseshoe kidney is a rare congenital anomaly that may cause various technical problems during conventional repairs of abdominal aortic aneurysms. We report the case of a 68-year-old woman with a horseshoe kidney, symptomatic abdominal aortic aneurysm and mild renal failure. The patient underwent endovascular repair using a bifurcated endoprosthesis. The postoperative was uneventful. We describe the diagnosis and the endovascular technique and literature review. Descriptors: Aortic aneurysm. Aortic aneurysm, abdominal/ surgery. Blood vessel prosthesis implantation/methods. Kidney diseases/surgery. Kidney/abnormalities. Stents. Resumo O rim em ferradura é uma anomalia congênita rara que pode causar várias dificuldades técnicas durante a correção convencional de aneurisma de aorta abdominal. Relatamos o caso de uma paciente de 68 anos com rim em ferradura, aneurisma de aorta abdominal sintomático e disfunção renal leve. A paciente foi submetida a correção endovascular, sendo utilizada uma endoprótese bifurcada. O pós-operatório foi livre de complicações. O diagnóstico e a técnica endovascular são discutidos, assim como a literatura revisada. Descritores: Aneurisma aórtico. Aneurisma da aorta abdominal/cirurgia. Implante de prótese vascular/métodos. Nefropatias/cirurgia. Rim/anormalidades. Contenedores.

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“…Horsehoe kidney is also related to the sigmoid kidney where the isthmus joins the upper and lower poles of the two kidneys. Usually, the isthmus consists of renal parenchyma with its own arterial system [4,10]. Sometimes it is reduced to a simple fibrous bridge.…”

Section: Position and Relationsmentioning

confidence: 99%

“…In 1925, E]sendrath stressed that the arterial supply of the horseshoe kidney is abnormal in 70% to 80% of cases [4,6,9]. He reported on 132 cases collected from the literature and 3 personal cases, with the following findings: a solitary artery (0.7%), one artery for each kidney (19%), one artery for each kidney and one for the isthmus (29%), two arteries for each kidney and one for the isthmus (18%), two arteries for each kidney and one or two for the isthmus derived from the iliac a.…”

Section: Vascular Systemmentioning

confidence: 99%

Anatomical bases of percutaneous surgery for calculi in horseshoe kidney

et al. 1992

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Horseshoe kidney is a renal fusion which combines three anatomic abnormalities: ectopia, malrotation and vascular changes. These anomalies can be recognised separately to varying degrees in unfused kidneys. Necessary modifications of the standard technique for percutaneous nephrolithotomy (PNL) are directly deducible from analysis of the anatomic data of the imaging of horseshoe kidneys. We report our experience with 5 patients (7 kidneys) who underwent PNL for calculi in horseshoe kidneys. The percutaneous approach was performed under ultrasound and fluoroscopic monitoring. In situ disintegration by ultrasonic lithotripsy and nephrostomy drainage were necessary in all cases. Modifications of the standard PNL procedure are related to the anatomic changes. The lower abdominal position of a horseshoe kidney necessitates upper or middle calyceal puncture, while the malrotation necessitates a more posterior puncture. Monitoring of the puncture needle by fluoroscopy as it is advanced postero-anteriorly is more difficult and the risk of the surgeon's hand entering the radiation path is increased. The renal pelvis is deep and a long endoscope may be required. Aberrant segmental vessels may create potential hazards. The majority of problems in location can be avoided by use of an ultrasonically guided needle. Percutaneous nephrolithotomy is the treatment of choice for calculi in horseshoe kidneys for the following reasons: the high incidence of recurrent lithiasis in horseshoe kidney and the complexity of repeated surgical approaches diminish the acceptable results of open surgery; difficulties in focussing on the calculi and drainage problems militate against the success of extracorporeal shock wave lithotripsy (ESWL); PNL has a good success rate and the least morbidity.

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The Arterial Supply of Horseshoe Kidneys

Cited by 75 publications

References 10 publications

Horseshoe kidney - a case report

Horseshoe kidney - a case report

Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with Horseshoe Kidney: Report of a Case

Anatomical bases of percutaneous surgery for calculi in horseshoe kidney

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