Noguchi M, Hirashima S, Eishi K, Takahashi H, Hazama S, Takai H, Koga S
Department of Cardiovascular Surgery, Nagasaki Municipal Medical Center, Nagasaki, Japan.
J Cardiovasc Surg (Torino). 2004 Oct;45(5):505-9.
The coexistence of horseshoe kidney and aortic aneurysm poses a technical challenge to the vascular surgeon during aneurysm repair. Whether to divide the renal isthmus and how to approach the aneurysm are still matters of controversy, and coagulopathy sometimes occurs in patients with nontreated abdominal aortic aneurysm (AAA). We describe the successful surgical repair of an AAA with horseshoe kidney via the transperitoneal approach and division of the renal isthmus by harmonic scalpel. Exclusion of a thrombosed aneurysm can ameliorate coagulopathy due to AAA.
马蹄肾与主动脉瘤并存给血管外科医生在动脉瘤修复过程中带来了技术挑战。是否切断肾峡部以及如何处理动脉瘤仍存在争议，而且未经治疗的腹主动脉瘤（AAA）患者有时会出现凝血功能障碍。我们描述了通过经腹入路并使用超声刀切断肾峡部成功手术修复合并马蹄肾的AAA的病例。排除血栓形成的动脉瘤可改善由AAA引起的凝血功能障碍。
