Juxtarenal aortic aneurysm associated with a horseshoe kidney. Transfemoral endoluminal repair.
Horseshoe kidney complicates aortic aneurysm surgery in 1 of 200 cases. A patient with asymptomatic juxtarenal aortic aneurysm associated with a horseshoe kidney was successfully treated by stent graft placement. The kidney was supplied by 4 renal arteries. The proximal uncovered part of the stent graft was anchored across the origin of 1 renal artery. Another renal artery, arising from the aneurysmal sac, was occluded by the covered part of the stent graft. A kidney infarction developed postoperatively, which did not affect renal function or blood pressure. The patient was discharged from the hospital in good condition. Follow-up computed tomography and angiography confirmed a satisfactory result of the endovascular treatment.
Ferko
A
A
Department of War Surgery, Purkyne Military Academy, Hradec Králové, Czech Republic.
Krajina
A
A
Jon
B
B
Lesko
M
M
Voboril
Z
Z
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation*; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D015607:Stents