Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.
J Coll Physicians Surg Pak. 2022 Apr;32(4):S41-S43. doi: 10.29271/jcpsp.2022.Supp1.S41.
Horseshoe kidney (HSK) is one of the most common congenital renal fusion anomalies. Difficulties are encountered during surgery of aortic diseases associated with this anomaly. A 47-year male presented to the Outpatient Clinic with one-year history of intermittent claudication in 20 meters. He was diagnosed with Leriche syndrome and horseshoe kidney (HSK). The patient underwent aorto-bifemoral bypass surgery via transperitoneal approach. The proximal anastomosis was completed in an end-to-side fashion. The bifurcated graft was positioned posteriorly to the isthmus; and distal anastomoses were performed onto the common femoral arteries. He was discharged from the hospital on the eighth postoperative day without any complications. Key Words: Abdominal aorta, Surgery, Horseshoe kidney, Leriche syndrome.
马蹄肾（HSK）是最常见的先天性肾融合异常之一。与这种异常相关的主动脉疾病的手术中会遇到困难。一名 47 岁男性因间歇性跛行一年（20 米）就诊于门诊。他被诊断为 Leriche 综合征和马蹄肾（HSK）。患者经腹腔途径行主动脉-双股动脉旁路手术。近端吻合采用端侧吻合。分叉移植物置于峡部后方；远端吻合于股总动脉上。术后第八天患者无任何并发症出院。
腹主动脉；手术；马蹄肾；Leriche 综合征。
