The retroperitoneal approach to aortic surgery associated with horseshoe kidney.
The horseshoe kidney is a rare anomaly that can significantly complicate aortic surgery. A bulky isthmus, abnormalities of renal anatomy, and a variable blood supply associated with a horseshoe kidney can pose technical difficulties in terms of aortic reconstruction. The left retroperitoneal approach affords an excellent exposure of the abdominal aorta in patients with a horseshoe kidney without dividing the renal isthmus and avoids the risk of injury to a ureter in an anomalous location. This is a case report of a patient with a horseshoe kidney who underwent a successful repair of an abdominal aortic aneurysm by a left retroperitoneal approach.
Mason
R A
RA
Department of Surgery, State University of New York, School of Medicine, Stony Brook.
Kvilekval
K H
KH
Hartman
A
A
Giron
F
F
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D012077:Renal Artery / Q000002:abnormalities / Q000601:surgery; D012187:Retroperitoneal Space