A Case of Abdominal Aortic Aneurysm Associated with Horseshoe Kidney

(Department of Cardiovascular Surgery, Komaki City Hospital, Komaki, Japan, and Department of Vascular Surgery, Aichi Medical University Hospital*, Nagakute, Japan)

Shiro Tomari Masaru Sawazaki Yoriko Kobayashi
Naoto Izawa Hiroyuki Ishibashi*
Horseshoe kidney is a common renal anomalies, but coexistence with abdominal aortic aneurysm(AAA)is rare. Horseshoe kidney may cause various technical difficulties of aneurysm repair. A 76-year-old man was referred to our hospital for treatment of AAA with a horseshoe kidney. Preoperative 3-dimensional computed tomography(3D-CT)scans showed a pair of normal renal arteries and 3 accessory renal arteries from the anterior wall to abdominal aorta just proximal to an aneurysm. At operation, the aneurysm was exposed through a transperitoneal approach, and artificial graft replacement was performed with a woven Dacron bifurcated graft preserving the renal isthmus. The accessory renal arteries were not reconstructed. The postoperative course was uneventful. Postoperative 3-D CT showed minor infarction of renal isthmus, but renal function was not impaired.
  Jpn. J. Cardiovasc. Surg. 40:314-317(2011)

Keywords:horseshoe kidney, abdominal aortic aneurysm, accessory renal artery