Transplantation of a Horseshoe Kidney into 2 Recipients

Payen, E; Bretheau, D; Lechevallier, É.; Berland, Yvon; Olmer, M; Coulange, C.

doi:10.1159/000282822

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…Our literature review reveals that since then 31 horseshoe kidneys have been transplanted into 48 recipients (Table 1), ten of which were en bloc transplants (26,(28)(29)(30)(31)(32)(33)(34)(35). The other 21 were divided and transplanted into 38 recipients (9,27,(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52). The mean donor age was 29 yr (range 3-65).…”

Section: Can Horseshoe Kidneys Be Used For Transplantation?mentioning

confidence: 99%

Horseshoe kidney transplantation: an overview

Stroosma

Scheltinga

Stubenitsky

et al. 2000

Clinical Transplantation

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The horseshoe kidney is the most common anatomical renal variation. It represents a fusion anomaly, mainly at the lower poles, occurring between the 4th and 6th week of gestation. Horseshoe kidneys display a great variation in origin, number and size of the vasculature. Transplantation of these deviant kidneys can be done en bloc or they can be split into two halves and transplanted into two recipients, depending on the number of vessels and the anatomy of the urinary collecting system. A literature review reveals 31 case histories, published between 1975 and 1998. Of these 21 were transplanted into 38 recipients after division and ten were implanted en bloc. Nineteen grafts (41%) showed immediate function and 21 grafts (46%) showed delayed function. Thrombosis and acute rejection, leading to non-function was seen in six grafts (13%). The overall success rate was 87%) with a mean follow-up of 22 months. The results of horseshoe kidney transplantation are good. provided that attention is paid to certain technical details. Because of donor scarcity, horseshoe kidneys should be used for transplantation.

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Section: Can Horseshoe Kidneys Be Used For Transplantation?mentioning

confidence: 99%

Horseshoe kidney transplantation: an overview

Stroosma

Scheltinga

Stubenitsky

et al. 2000

Clinical Transplantation

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“…Vascular anomalies of the horseshoe kidney are frequent and 66% have 3-5 renal arteries [3,4], causing many surgeons to perform transplantation en bloc.…”

Section: Introductionmentioning

confidence: 99%

Maximizing Nephron Mass in Horseshoe Kidney Transplantation Using Inferior Epigastric Artery: Case Report

Elec¹,

Zaharie²,

Vintilă³

et al. 2018

Urol Int

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Due to the progressive shortage of donors, kidneys with congenital anomalies are considered for transplantation. We report a successful transplantation of a split horseshoe kidney from a deceased donor by using the inferior epigastric artery with an end-to-end anastomosis, supplying the isthmus. Thus, we preserved as much as possible the functional parenchyma for a good long-term outcome. The learning point is that the use of the right inferior epigastric artery seems to be a good solution to perfuse the lower artery in order to avoid its ligation, thus reducing the nephron mass of the graft.

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