Loftus I K, Thompson M M, Fishwick G, Boyle J R, Bell P R
Department of Surgery, University of Leicester, United Kingdom.
J Endovasc Surg. 1998 Aug;5(3):278-81. doi: 10.1583/1074-6218(1998)005<0278:EROAAI>2.0.CO;2.
To report two cases of endovascular aortic aneurysm exclusion in patients with a horseshoe kidney.
Two male patients, one with a known horseshoe kidney and history of multiple previous laparotomies, presented with abdominal aortic aneurysms of approximately 6-cm diameter. Each was treated with a tapered aortomonoiliac polytetrafluoroethylene graft secured proximally with a Palmaz balloon-expandable stent. The endograft was sutured distally to a Dacron femorofemoral crossover graft. An anomalous renal vessel was sacrificed in one case. The aneurysms were successfully excluded, and the patients recovered without sequelae.
Endovascular repair should be considered as a treatment option in patients with aortic aneurysm in the presence of a horseshoe kidney, particularly if the renal vasculature can be wholly preserved.
报告两例马蹄肾患者行血管腔内主动脉瘤隔绝术的病例。
两名男性患者，其中一名已知患有马蹄肾且有多次既往剖腹手术史，均表现为直径约6厘米的腹主动脉瘤。每名患者均采用锥形主动脉单髂总动脉聚四氟乙烯移植物治疗，近端用帕尔马兹球囊扩张支架固定。血管内移植物在远端缝合至涤纶股股交叉移植物。其中1例牺牲了一支异常肾血管。动脉瘤成功隔绝，患者康复且无后遗症。
对于马蹄肾合并主动脉瘤的患者，应考虑将血管腔内修复作为一种治疗选择，尤其是在肾血管系统能够完全保留的情况下。
