Kin Keiwa, Takano Hiroshi, Nakagawa Takaya, Shirakawa Yukitoshi
Department of Cardiovascular Surgery, Osaka General Medical Center, Osaka, Osaka, Japan.
Ann Vasc Dis. 2017 Mar 24;10(1):41-43. doi: 10.3400/avd.cr.16-00107. Epub 2017 Mar 31.
Abdominal aortic aneurysm (AAA) with associated horseshoe kidney (HSK) poses a technical challenge when performing conventional open surgical repair because of possible complications including renal infarction, neuralgia, and collecting system disruption. Endovascular aortic repair (EVAR) is considered the first-line treatment for this pathology, allowing for aneurysm repair without isthmus bisection. However, whether to sacrifice commonly presenting aberrant renal arteries during EVAR is a point of controversy. We report a case in which hybrid repair was performed for AAA to preserve aberrant renal vasculature in a patient with HSK.
腹主动脉瘤（AAA）合并马蹄肾（HSK）在进行传统开放手术修复时会带来技术挑战，因为可能出现包括肾梗死、神经痛和集合系统破坏等并发症。血管腔内主动脉修复术（EVAR）被认为是这种病症的一线治疗方法，可在不切断峡部的情况下修复动脉瘤。然而，在EVAR过程中是否牺牲常见的异常肾动脉存在争议。我们报告了一例对AAA进行杂交修复以保留HSK患者异常肾血管的病例。
