Ferko A, Krajina A, Jon B, Lesko M, Voboril Z
Department of War Surgery, Purkyne Military Academy, Hradec Králové, Czech Republic.
Arch Surg. 1997 Mar;132(3):316-7. doi: 10.1001/archsurg.1997.01430270102021.
Horseshoe kidney complicates aortic aneurysm surgery in 1 of 200 cases. A patient with asymptomatic juxtarenal aortic aneurysm associated with a horseshoe kidney was successfully treated by stent graft placement. The kidney was supplied by 4 renal arteries. The proximal uncovered part of the stent graft was anchored across the origin of 1 renal artery. Another renal artery, arising from the aneurysmal sac, was occluded by the covered part of the stent graft. A kidney infarction developed postoperatively, which did not affect renal function or blood pressure. The patient was discharged from the hospital in good condition. Follow-up computed tomography and angiography confirmed a satisfactory result of the endovascular treatment.
马蹄肾在200例主动脉瘤手术中有1例出现并发症。1例无症状的近肾主动脉瘤合并马蹄肾患者通过支架植入术成功治疗。该肾脏由4支肾动脉供血。支架移植物近端未覆盖部分跨过1支肾动脉的起始部进行锚定。另一支起源于动脉瘤囊的肾动脉被支架移植物的覆盖部分封堵。术后发生了肾梗死，但未影响肾功能和血压。患者康复出院。随访计算机断层扫描和血管造影证实血管内治疗效果满意。
