Han Ahram, Kim Suh Min, Choi Chanjoong, Min Sang-Il, Ha Jongwon, Min Seung-Kee
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Department of Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
Vasc Specialist Int. 2015 Jun;31(2):54-7. doi: 10.5758/vsi.2015.31.2.54. Epub 2015 Jun 30.
Horseshoe kidney (HSK) is the most common congenital abnormality of the urologic system encountered during abdominal aortic aneurysm (AAA) surgery. Here, the authors report a case of AAA coexisting with HSK that was successfully treated by open surgery. Two accessory renal arteries of 2.5 mm and 3.1 mm were reimplanted. One of the implanted arteries later occluded and infarct of the isthmus developed, but there was no impairment of renal function. The authors discuss the complexity of the surgical treatment of AAA coexisting with HSK, and place focus on which accessory renal arteries should be reconstructed.
马蹄肾（HSK）是腹主动脉瘤（AAA）手术中最常见的泌尿系统先天性异常。在此，作者报告一例AAA合并HSK的病例，该病例通过开放手术成功治疗。两条直径分别为2.5毫米和3.1毫米的副肾动脉被重新植入。其中一条植入的动脉后来闭塞，峡部发生梗死，但肾功能未受损。作者讨论了AAA合并HSK手术治疗的复杂性，并重点关注应重建哪些副肾动脉。
