[Abdominal aortic aneurysm and horseshoe kidney anomaly].

Horseshoe kidney is a challenge for vascular surgeon performing abdominal aortic aneurysm repair. First case of successful surgical treatment and positive remote result is described in Lithuanian medical press. Literature review of world surgical treatment experience is given. Operative technique depends upon anomalous kidney vascularization. Three types of vascularization are described. Rational operative approach and necessity of isthmotomy are discussed, investigation methods and treatment algorithm is presented.