Akiyama K, Inoue T, Nemoto M, Goshima M, Koga M, Negishi N, Sezai Y
Second Department of Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-0032, Japan.
Ann Thorac Cardiovasc Surg. 2000 Jun;6(3):199-202.
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.
一名有间歇性跛行病史的55岁男性因腹部肿块就诊，腹部计算机断层扫描（CT）诊断为腹主动脉瘤合并马蹄肾。术前通过血管造影、螺旋CT和静脉肾盂造影等方法显示了马蹄肾的形态、支配血管、输尿管走行以及右髂总动脉狭窄情况。手术时，经正中切口打开腹腔，采用钉合封闭技术，用189毫米编织Y形涤纶人工血管替代物和大隐静脉重建异常肾动脉。未切除峡部。术后无并发症，肾功能也无大幅下降。取得了良好效果，我们在此报告我们的结果并结合文献进行讨论。
