A case report of nonresective staple exclusion of abdominal aortic aneurysm associated with horseshoe kidney.
A 55 year old male with a history of intermittent claudication presented with an abdominal mass, and was diagnosed by abdominal computed tomography (CT) with an abdominal aortic aneurysm accompanying horseshoe kidney. The horseshoe kidney configuration and governing vessels, urinary duct course, and right common iliac arterial stenosis were shown by methods such as angiogram, spiral CT, and intravenous pyelogram before operation. At the operation, the abdomen was opened by a median incision and, using a staple exclusion technique, the abnormal renal artery was reconstructed using 189 mm knitted Y shaped dacron graft replacement and the great saphenous vein. The isthmus was not resected. There were no post operative complications, nor was there any large decrease in renal function. Good results were obtained, and we herein report our results together with a discussion of the literature.
Akiyama
K
K
Second Department of Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-0032, Japan.
Inoue
T
T
Nemoto
M
M
Goshima
M
M
Koga
M
M
Negishi
N
N
Sezai
Y
Y
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007674:Kidney Diseases / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D013537:Sutures; D014057:Tomography, X-Ray Computed; D014567:Urography; D014656:Vascular Surgical Procedures / Q000295:instrumentation*