Journal de médecine vasculaire et de chirurgie

Abstrait

Surgical Treatment of Symptomatic Large Aortic Aneurysm with Horseshoe Kidney

Milton Sérgio Bohatch Júnior, Alexandre Maiera Anacleto, Beatriz Camelini Moreno, Andressa Hellen Nora da Silva, Fernando Reis Neto, Marcia Maria Morales, Jose Maria Pereira de Godoy

The association between Abdominal Aortic Aneurysm (AAA) and Horseshoe Kidney (HK) is rare, found in approximately 0.1% of aneurysm correction surgeries. The open surgical approach represents a challenge requiring consideration of three critical technical aspects, given each patient's unique anatomy: Type of exposure to AAA, the need to section the renal isthmus and whether to preserve the Accessory Renal Artery (ARA). We describe an open transperitoneal repair of a giant AAA with preservation of the isthmus and ARA.