Giordanengo F, Vandone P, Pizzocari P, De Monti M, Mattioli A
Istituto di Chirurgia Generale e Cardiovascolare, Università degli Studi di Milano.
Minerva Cardioangiol. 1991 Mar;39(3):97-102.
The concomitance of horseshoe kidney and abdominal aortic aneurysm is rare but represents an interesting challenge for vascular surgeons. The trouble is greater if the diagnosis is formulated intraoperatively and specially if it is an emergency operation for aortic rupture or fissuration. The surgeon's aim is to get to the aneurysm collar without damaging the kidney, the renal arteries or the urinary tract that often have an anomalous development. The authors make a review of the literature and describe three cases occurred out of 2558 prosthetic reconstructions due to abdominal aortic aneurysm.
马蹄肾与腹主动脉瘤同时存在的情况罕见，但对血管外科医生来说是一个有趣的挑战。如果在术中才做出诊断，尤其是对主动脉破裂或撕裂进行急诊手术时，问题会更大。外科医生的目标是在不损伤肾脏、肾动脉或通常发育异常的尿路的情况下到达动脉瘤颈部。作者回顾了文献，并描述了在2558例因腹主动脉瘤进行的人工血管重建手术中出现的3例病例。
