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

Han A, Kim SM, Choi C, Min SI, Ha J, Min SK - Vasc Specialist Int (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

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.

No MeSH data available.


Related in: MedlinePlus

Preoperative computed tomography angiogram (A) and schematic drawing (B) showing an infrarenal aortic aneurysm with multiple accessory renal arteries arising from the aorta (①, ②) and the aneurysm sac (④, ⑤, ⑥, ⑦). Two accessory renal arteries (④, ⑤) larger than 2 mm were isolated for revascularization (C). Inferior mesenteric artery (③, IMA) arising from the aneurysm neck was ligated.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4508652&req=5

f1-vsi-31-54: Preoperative computed tomography angiogram (A) and schematic drawing (B) showing an infrarenal aortic aneurysm with multiple accessory renal arteries arising from the aorta (①, ②) and the aneurysm sac (④, ⑤, ⑥, ⑦). Two accessory renal arteries (④, ⑤) larger than 2 mm were isolated for revascularization (C). Inferior mesenteric artery (③, IMA) arising from the aneurysm neck was ligated.

Mentions: A 66-year-old man was referred to our clinic for an asymptomatic AAA. Computed tomography (CT) urography revealed a 6.6 cm infrarenal AAA and a HSK with a wide parenchymatous isthmus, and CT angiography showed multiple renal arteries (Fig. 1A, B). Four of the accessory renal arteries arose from the aneurysm body, and supplied the inferior poles and isthmus. Two of these, arising from the upper part of the aneurysm were relatively large with diameters of 2.5 mm and 3.1 mm. Initially, the patient had normal renal function with a serum creatinine of 1.00 mg/dL.


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

Han A, Kim SM, Choi C, Min SI, Ha J, Min SK - Vasc Specialist Int (2015)

Preoperative computed tomography angiogram (A) and schematic drawing (B) showing an infrarenal aortic aneurysm with multiple accessory renal arteries arising from the aorta (①, ②) and the aneurysm sac (④, ⑤, ⑥, ⑦). Two accessory renal arteries (④, ⑤) larger than 2 mm were isolated for revascularization (C). Inferior mesenteric artery (③, IMA) arising from the aneurysm neck was ligated.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508652&req=5

f1-vsi-31-54: Preoperative computed tomography angiogram (A) and schematic drawing (B) showing an infrarenal aortic aneurysm with multiple accessory renal arteries arising from the aorta (①, ②) and the aneurysm sac (④, ⑤, ⑥, ⑦). Two accessory renal arteries (④, ⑤) larger than 2 mm were isolated for revascularization (C). Inferior mesenteric artery (③, IMA) arising from the aneurysm neck was ligated.
Mentions: A 66-year-old man was referred to our clinic for an asymptomatic AAA. Computed tomography (CT) urography revealed a 6.6 cm infrarenal AAA and a HSK with a wide parenchymatous isthmus, and CT angiography showed multiple renal arteries (Fig. 1A, B). Four of the accessory renal arteries arose from the aneurysm body, and supplied the inferior poles and isthmus. Two of these, arising from the upper part of the aneurysm were relatively large with diameters of 2.5 mm and 3.1 mm. Initially, the patient had normal renal function with a serum creatinine of 1.00 mg/dL.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

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.

No MeSH data available.


Related in: MedlinePlus