A Case of Abdominal Aortic Aneurysm Associated with Horseshoe Kidney
10.4326/jjcvs.40.155
- VernacularTitle:馬蹄腎を伴う腹部大動脈瘤に対しハーモニックスカルペルを使用した1例
- Author:
Yoshiyuki Nishimura
;
Toshiharu Ishii
;
Yasuhide Ookawa
- Publication Type:Journal Article
- Keywords:
horseshoe kidney;
abdominal aortic aneurysm;
harmonic scalpel
- From:Japanese Journal of Cardiovascular Surgery
2011;40(3):155-158
- CountryJapan
- Language:Japanese
-
Abstract:
We describe the case of an 80-year-old man who underwent surgical repair for abdominal aortic aneurysm with horseshoe kidney. We performed open surgery by a transperitoneal approach via a standard median laparotomy, and noted that the right accessory renal artery had 1 branch and the left accessory renal artery had 2. We safely dissected these arteries using a Harmonic scalpel. The aneurysm was successfully replaced using a Dacron straight graft, and all renal arteries were preserved. Renal infarction and renal dysfunction did not occur during the uneventful postoperative course.