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Ann Vasc Dis. 2015;8(4):324-7. doi: 10.3400/avd.cr.15-00083. Epub 2015 Oct 20.

Surgical Treatment of a Voluminous Infrarenal Abdominal Aortic Aneurysm with Horseshoe Kidney: Tips and Tricks.

Annals of vascular diseases

Giovanni De Caridi, Mafalda Massara, Michele Greco, Claudio Mastrojeni, Raffaele Serra, Ignazio Salomone, Michele La Spada

Affiliations

  1. Unit of Vascular Surgery, CardioVascular and Thoracic Department, University of Messina, Messina, Italy.
  2. Unit of Vascular Surgery, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.
  3. Unit of Radiology, Radiological Sciences Department, University of Messina, Messina, Italy.

PMID: 26730260 PMCID: PMC4691509 DOI: 10.3400/avd.cr.15-00083

Abstract

Horseshoe kidney is a common urology anomaly, while its association with infrarenal abdominal aortic aneurysm represents a very rare condition. Surgical approach remains controversial however, we believe that the left retroperitoneal approach should be preferred in order to avoid isthmus resection with any subsequent renal infarction, urinary tract damage and to facilitate renal arteries reimplantation, when required. We present a case of voluminous infrarenal abdominal aortic aneurysm associated with horseshoe kidney, successfully treated through a left retroperitoneal approach on the retro-renal space.

Keywords: horseshoe kidney; infrarenal abdominal aortic aneurysm

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