A Case of Ruptured Abdominal Aortic Aneurysm with Horseshoe Kidney
10.4326/jjcvs.41.235
- VernacularTitle:馬蹄腎を合併した破裂性腹部大動脈瘤の1手術例
- Author:
Hiroyuki Watanabe
;
Shigeyasu Takeuchi
;
Mitsunori Okimoto
;
Hisanori Fujita
- Publication Type:Journal Article
- Keywords:
abdominal aortic aneurysm;
rupture;
horseshoe kidney
- From:Japanese Journal of Cardiovascular Surgery
2012;41(5):235-237
- CountryJapan
- Language:Japanese
-
Abstract:
Ruptured abdominal aortic aneurysm (AAA) associated with horseshoe kidney is an extremely rare condition. A 76-year-old man with lung cancer treated by radiotherapy was transfered to our hospital for emergency surgery of a ruptured AAA. Preoperative abdominal CT revealed an AAA 70 mm in diameter, massive hematoma in the retroperitoneal space and horseshoe kidney with a huge renal cyst. Because the patient was in serious condition, we performed emergency operation immediately after arrival at our hospital. The AAA was replaced by a straight prosthtic graft without division of the renal isthmus, however one aberrant renal artery was sacrificed. The postoperative course was uneventful with no evidence of renal dysfunction. In cases of ruptured AAA in a state of shock, emergency operation is first priority. Even though we could do only minimal preoperative examinations, the surgery of the ruptured AAA with horseshoe kidney can be performed safely, if an accurate perioperative judgement for the treatment of abberant artery and renal isthmus is made.
