AI Article Synopsis
- A rare case of a 67-year-old man with a growing abdominal aortic aneurysm (AAA) was reported, alongside a horseshoe kidney (HSK) that complicated the surgical approach.
- The aneurysm had a challenging, sharply angled neck and included a lot of clotting material, while the HSK's isthmus obstructed direct access to the aneurysm.
- The surgery was successfully performed using a transperitoneal method, allowing for division of the isthmus without needing to reconstruct the renal artery, and the patient experienced a smooth recovery post-operation.
Article Abstract
The co-existence of abdominal aortic aneurysm (AAA) and horseshoe kidney (HSK) is rare. We report a 67-year-old man with an expanding juxtarenal AAA associated with a HSK. The aneurysm had a severely angulated neck and contained a significant amount of mural thrombus. The isthmus of HSK closely lied over the aneurysm, making its exposure extremely difficult. The aneurysm was successfully repaired using transperitoneal approach with division of the renal isthmus and without any need for the renal artery reconstruction. Despite the potential complications, particularly renal insufficiency, associated with division of the renal isthmus and suprarenal cross-clamping of the abdominal aorta, in our case, post-operative period was uneventful and the patient's recovery was satisfactory.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623490 | PMC |
| http://dx.doi.org/10.1093/jscr/rjv134 | DOI Listing |
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