Connelly T L, McKinnon W, Smith R B, Perdue G D
Arch Surg. 1980 Dec;115(12):1459-63. doi: 10.1001/archsurg.1980.01380120031008.
Seventy cases, including the six reported here, of aortic operations in patients with horseshoe kidney were reviewed. Anomalous renal arteries were encountered in 42 (60%) of these patients. We concluded that accurate preoperative diagnosis and angiographic delineation of aberrant renal arteries facilitate preservation of renal blood supply. When accessory or anomalous arteries cannot be preserved in situ, they should be reimplanted into the aortic prosthesis. Symphysiotomy may improve operative exposure and when necessary is a safe maneuver.
我们回顾了包括本文报道的6例在内的70例马蹄肾患者的主动脉手术病例。这些患者中有42例（60%）发现有异常肾动脉。我们得出结论，术前准确诊断并通过血管造影描绘异常肾动脉有助于保留肾血供。当副动脉或异常动脉无法原位保留时，应将其重新植入主动脉人工血管。耻骨联合切开术可改善手术视野，必要时是一种安全的操作。
