Vascular Specialist International  2015;31(2):54-57

doi:10.5758/vsi.2015.31.2.54

Open Surgical Repair of Abdominal Aortic Aneurysm Coexisting with Horseshoe Kidney.

Ahram HAN 1 ; Suh Min KIM ; Chanjoong CHOI ; Sang Il MIN ; Jongwon HA ; Seung Kee MIN

Affiliations

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Keywords

Abdominal aortic aneurysm; Kidney/abnormalities; Renal artery

Country

Republic of Korea

Language

English

Abstract

Horseshoe kidney (HSK) is the most common congenital abnormality of the urologic system encountered during abdominal aortic aneurysm (AAA) surgery. Here, the authors report a case of AAA coexisting with HSK that was successfully treated by open surgery. Two accessory renal arteries of 2.5 mm and 3.1 mm were reimplanted. One of the implanted arteries later occluded and infarct of the isthmus developed, but there was no impairment of renal function. The authors discuss the complexity of the surgical treatment of AAA coexisting with HSK, and place focus on which accessory renal arteries should be reconstructed.