Open Surgical Repair of Abdominal Aortic Aneurysm Coexisting with Horseshoe Kidney

Ahram Han; Suh Min Kim; Chanjoong Choi; Sang-Il Min; Jongwon Ha; Seung-Kee Min

doi:10.5758/vsi.2015.31.2.54

Open Surgical Repair of Abdominal Aortic Aneurysm Coexisting with Horseshoe Kidney

Vasc Specialist Int. 2015 Jun;31(2):54-7. doi: 10.5758/vsi.2015.31.2.54. Epub 2015 Jun 30.

Authors

Ahram Han¹, Suh Min Kim², Chanjoong Choi¹, Sang-Il Min¹, Jongwon Ha¹, Seung-Kee Min¹

Affiliations

¹ Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
² Department of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 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.

Keywords: Abdominal aortic aneurysm; Kidney/abnormalities; Renal artery.

Publication types

Case Reports