Ikeda Akihiko, Tsukada Toru, Konishi Taisuke, Matsuzaki Kanji, Jikuya Tomoaki, Hiramatsu Yuji
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan.
Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Ann Vasc Dis. 2015;8(1):52-5. doi: 10.3400/avd.cr.14-00099. Epub 2015 Feb 16.
Horseshoe kidney is a congenital anomaly characterized by medial fusion of the bilateral kidneys. Treatment for an abdominal aortic aneurysm (AAA) with a horseshoe kidney is a technical challenge because of the complex anatomy. We report a successful open surgical repair for a ruptured AAA with a horseshoe kidney. An aortic grafting was performed with division of the renal isthmus through a transperitoneal approach. In the case of a ruptured AAA, quick open surgery is the most reliable treatment. If a horseshoe kidney coexists, transperitoneal approach with division of the renal isthmus provides good surgical field for an aortic grafting.
马蹄肾是一种先天性异常，其特征为双侧肾脏在中线融合。由于解剖结构复杂，马蹄肾患者的腹主动脉瘤（AAA）治疗是一项技术挑战。我们报告了一例马蹄肾合并破裂性AAA的成功开放手术修复病例。通过经腹途径行主动脉移植术并切断肾峡部。对于破裂性AAA，快速开放手术是最可靠的治疗方法。如果合并马蹄肾，经腹途径并切断肾峡部可为主动脉移植术提供良好的手术视野。
