Problems of abdominal aortic aneurysm associated with horseshoe kidney

Autor: P.N. Wake, A.P. Moody, P.R. Edwards, D.Y. Artioukh
Jazyk: angličtina
Předmět:
Zdroj: European Journal of Vascular and Endovascular Surgery. (1):75-78
ISSN: 1078-5884
DOI: 10.1016/S1078-5884(97)80230-4
Popis: Horseshoe k idney (HSK) is an unusual abnormali ty occurring in 0.15--0.25% of the population. 1'2 In its most common form fusion is be tween the lower poles, creating an isthmus of variable size and shape anterior to the aorta and inferior vena cava. This may consist of a simple fibrous band or may contain a significant amount of functioning renal pa renchyma and part of the collecting system. In up to three-quarters of cases it is associated with abnormalities of the renal vasculature. The coexistence of abdominal aortic aneurysm (AAA) wi th HSK is rare, being present in only 0.12% of patients undergoing aneurysm replacement. 3 Technical problems related to exposure, vascular access and preservat ion of renal tissue may trap the unwary. We report two cases of successful reconstruction of the aorta in patients with AAA and HSK and review the literature to date.
Databáze: OpenAIRE