Krivoshei Lian, Akin-Olugbade Yemi, McWilliams Glen, Halak Moshe, Silverberg Daniel
Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.
Vascular. 2012 Feb;20(1):54-6. doi: 10.1258/vasc.2011.cr0298. Epub 2012 Feb 10.
The aim of this paper is to report an unusual case of a patient with an abdominal aortic aneurysm (AAA) and a hydronephrotic horseshoe kidney (HSK) that was repaired by endovascular means. An 81-year-old male patient with a known HSK was found to have hydronephrosis and an AAA. The patient's aneurysm was treated with an endovascular stent graft which required the covering of accessory renal arteries. He had an uneventful recovery with complete resolution of the hydronephrosis evident on a computed tomography scan performed seven months after the surgery. In conclusion, endovascular aneurysm repair is a feasible therapeutic option for an AAA coexisting with an HSK and may be considered as a valid alternative to open repair when concomitant hydronephrosis is present.
本文旨在报告一例罕见病例，该患者患有腹主动脉瘤（AAA）和肾积水的马蹄肾（HSK），通过血管内方法进行了修复。一名已知患有马蹄肾的81岁男性患者被发现患有肾积水和腹主动脉瘤。患者的动脉瘤采用血管内支架移植物进行治疗，该治疗需要覆盖副肾动脉。术后七个月进行的计算机断层扫描显示肾积水完全消退，患者恢复顺利。总之，血管内动脉瘤修复对于合并马蹄肾的腹主动脉瘤是一种可行的治疗选择，当存在合并肾积水时，可被视为开放修复的有效替代方案。
