Endovascular aneurysm repair: Treatment of choice for abdominal aortic aneurysm coincident with horseshoe kidney? Three case reports and review of literature.
There is still controversy as to which surgical method is the most suitable for repair of abdominal aortic aneurysm with concomitant horseshoe kidney (AAA-HSK). We report three cases of AAA-HSK treated with endovascular aneurysm repair. In one of these patients we sacrificed the accessory renal artery by applying coils before the operation. Renal infarction, hypertension, or elevated serum creatinine level was not observed in any of our patients. If the blood supply to the kidneys is taken into consideration, endovascular aneurysm repair is our preferred surgical method for repair of AAA-HSK when anatomic conditions are suitable for stent-graft application and kidney function is normal.
Vascular Surgery, Department of Surgery Innenstadt, Klinikum der Universitat Munchen, Munich, Germany. Volker.Ruppert@ch-1.med.uni-muenchen.de
Volker
V
Ruppert
Thomas
T
Umscheid
Johannes
J
Rieger
Claus-Georg
CG
Schmedt
Thomas
T
Mussack
Bernd
B
Steckmeier
Wolf-Joachim
WJ
Stelter
D000368:Aged; D017130:Angioplasty / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D007674:Kidney Diseases / Q000150:complications / Q000151:congenital / Q000601:surgery*; D008297:Male; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000150:complications / Q000601:surgery*