De Caridi Giovanni, Massara Mafalda, Greco Michele, Mastrojeni Claudio, Serra Raffaele, Salomone Ignazio, La Spada Michele
Unit of Vascular Surgery, CardioVascular and Thoracic Department, University of Messina, Messina, Italy.
Unit of Vascular Surgery, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Ann Vasc Dis. 2015;8(4):324-7. doi: 10.3400/avd.cr.15-00083. Epub 2015 Oct 20.
Horseshoe kidney is a common urology anomaly, while its association with infrarenal abdominal aortic aneurysm represents a very rare condition. Surgical approach remains controversial however, we believe that the left retroperitoneal approach should be preferred in order to avoid isthmus resection with any subsequent renal infarction, urinary tract damage and to facilitate renal arteries reimplantation, when required. We present a case of voluminous infrarenal abdominal aortic aneurysm associated with horseshoe kidney, successfully treated through a left retroperitoneal approach on the retro-renal space.
马蹄肾是一种常见的泌尿外科异常情况，而其与肾下腹主动脉瘤相关则是一种非常罕见的病症。然而，手术方式仍存在争议，我们认为应首选左腹膜后入路，以避免切除峡部及随后出现的任何肾梗死、尿路损伤，并在必要时便于肾动脉再植。我们报告一例巨大肾下腹主动脉瘤合并马蹄肾的病例，通过左腹膜后入路在肾后间隙成功治疗。
