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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

Patent left accessory renal artery, occluded right accessory renal artery, and infarction of the isthmus on computed tomographic angiograms obtained at 18 months postoperatively.
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f2-vsi-31-54: Patent left accessory renal artery, occluded right accessory renal artery, and infarction of the isthmus on computed tomographic angiograms obtained at 18 months postoperatively.

Mentions: Although occlusion of one of the implanted arteries with infarction of the isthmus was noticed on CT taken at 6 days postoperatively, renal function was stable with a serum creatinine level of 0.90 mg/dL. CT angiography at 18 months postoperatively showed the renal infarct had remained unchanged without any progression, and that both the aortic graft and left accessory renal artery were patent (Fig. 2). Currently, the patient is clinically well at 29 months postoperatively.


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)

Patent left accessory renal artery, occluded right accessory renal artery, and infarction of the isthmus on computed tomographic angiograms obtained at 18 months postoperatively.
© Copyright Policy
Related In: Results  -  Collection

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

f2-vsi-31-54: Patent left accessory renal artery, occluded right accessory renal artery, and infarction of the isthmus on computed tomographic angiograms obtained at 18 months postoperatively.
Mentions: Although occlusion of one of the implanted arteries with infarction of the isthmus was noticed on CT taken at 6 days postoperatively, renal function was stable with a serum creatinine level of 0.90 mg/dL. CT angiography at 18 months postoperatively showed the renal infarct had remained unchanged without any progression, and that both the aortic graft and left accessory renal artery were patent (Fig. 2). Currently, the patient is clinically well at 29 months postoperatively.

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