Management and therapeutic options for abdominal aortic aneurysm coexistent with horseshoe kidney

Sahsamanis, Georgios; Charisis, Nektarios; Maltezos, Konstantinos; Galyfos, George; Papapetrou, Anastasios; Tsiliggiris, Vasileios; Kantounakis, Ioannis; Tzilalis, Vasilios D.

doi:10.1016/j.jvs.2018.10.009

Cited by 17 publications

(13 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The coexistence of HSK and AAA occurs in only 0.12% of patients undergoing aneurysm repair. [1] Although the HSK usually provides the patient with normal renal function, this pathology has certain surgical challenges due to the management of the renal isthmus and accessory renal vasculature. A study showed that the mean number of renal arteries was 3.2 (range, 2 to 16) in patients with both HSK and AAA.…”

Section: Discussionmentioning

confidence: 99%

“…A horseshoe kidney (HSK) is one of the most frequent anatomic variations of the urogenital system which is rarely associated with an abdominal aortic aneurysm (AAA). [1] Conventional open transabdominal or retroperitoneal approaches pose certain challenges for vascular surgeons due to the accessory renal arteries. Endovascular aneurysm repair (EVAR) has been accepted as an alternative method in eligible cases; however, there are some obstacles of maintaining the renal blood flow.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney

Boyacıoğlu¹

2020

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

ÖZAltmış sekiz yaşında erkek hasta infrarenal abdominal aort anevrizmasının tedavisi için kliniğimize sevk edildi. Bilgisayarlı tomografi anjiyografide anevrizmanın üstünde at nalı böbreği izlendi. Hastada anevrizmanın ön tarafından çıkan aksesuar renal arter mevcut idi. Endovasküler anevrizma tamiri yapıldı ve aksesuar renal arter baca tekniği ile morbidite olmadan başarılı bir şekilde revaskülarize edildi. Ameliyat sonrası bilgisayarlı tomografi anjiyografide, kaçak olmaksızın ve baca greft açıklığı ile anevrizmanın tamamen ekarte edildiği görüldü.Anah tar söz cük ler: Aksesuar renal arter, baca tekniği, endovasküler anevrizma tamiri, fenestrasyon, şnorkel. ABSTRACTA 68-year-old male patient was referred to our clinic for treatment of an infrarenal abdominal aortic aneurysm. Computed tomography angiography revealed a horseshoe kidney overlying the aneurysm. The patient had an accessory renal artery arising from the anterior aspect of the aneurysm. Endovascular aneurysm repair was performed and the accessory renal artery could be revascularized successfully by chimney technique without any morbidity. Postoperative computed tomography angiography revealed complete exclusion of the aneurysm with no endoleak and a patent chimney graft.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney

Boyacıoğlu¹

2020

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Papin proposed a classification based on the number of renal arteries, while Crawford et al [ 6 ] classification was based on the origin of the renal arteries, then a classification was introduced by Boatman et al [ 7 ] consisting of six types of vascularisation. Currently, the classification proposed by Einseidrath [ 8 ] in 1925 is the most used, in patients suffering an AAA with the concomitant presence of HSK, because of its greater surgical significance. It includes five types, with the first two representing approximately 50% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…Classifying a HSK is very important to establish the best therapeutic strategy using a three-dimensional CT angiography that provides detailed informations about the vascularisation of the HSK [ 8 , 9 ]. However, it is important to identify how much each branch contributes to the HSK perfusion.…”

Section: Discussionmentioning

confidence: 99%

Best strategy in managing the association of Horse-shoe-Kidney and Abdominal Aortic Aneurysm: Case report

Bounssir

Bakkali

Taghi

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Sem az infrarenalis aortaaneurysma, sem a patkóvese nem sorolható a gyakori megbetegedések közé, de együttes előfordulásuk kivételesen ritkának tekinthető, a hasi aortaaneurysma-esetek 0,12%-a. Az aorta előtt elhelyezkedő isthmus, a gyakran atípusosan eredő artériák és vénák, valamint a szokatlan lefutású ureterek jelenléte jelentősen megnehezíti a feltárást, a kirekesztést, az érprotézis pozicionálását és felvarrását is [6].…”

unclassified

Nyitott hasi aortaaneurysma-műtétek patkóvese fennállása esetén

Bálint

Mihály

Oláh

et al. 2020

View full text Add to dashboard Cite

Összefoglaló. A patkóvese a vese leggyakrabban előforduló fejlődési rendellenességeinek egyike. Hasi aortaaneurysmával való együttes előfordulása kifejezetten ritka (a hasi aortaaneurysmás esetek 0,12%-a). Az első esetben egy 64 éves férfi akut alsó végtagi panaszokkal került felvételre. A CT-angiográfia patkóvesét és thrombotizált infrarenalis aortaaneurysmát igazolt. Az akut műtét során a hasi aortaaneurysma resectióját és aortobifemoralis bypassműtétet végeztünk a patkóvese ishmusának megtartásával. A második esetben hasi panaszokat okozó, mindkét arteria iliaca communisra ráterjedő infrarenalis aortaaneurysma esetén végeztünk aortobiiliacalis rekonstrukciót. Az aneurysma előtt elhelyezkedő isthmus tervezetten szétválasztásra került, a poláris veseartériát visszaültettük. A tünetes hasi aortaaneurysma abszolút műtéti indikációt képez. A preoperatív CT- vagy MR-angiográfia kulcsfontosságú mind a műtéti indikáció felállítása, mind pedig a műtét megtervezése szempontjából. A beavatkozás előtt pontos képet kell kapnia az érsebésznek az aorta anatómiája mellett a patkóvese vérellátásáról és a húgyúti rendszerről. Az érsebészeti rekonstrukció esetén a transperitonealis feltárás – főleg akut műtét esetén – több előnnyel rendelkezik, mint a retroperitonealis feltárás. Orv Hetil. 2020; 161(46): 1966–1971. Summary. Horseshoe kidney is one of the most common congenital disorders of the kidney. The simultaneous incidence of horseshoe kidney and abdominal aneurysm is very low (0.12% of all cases of abdominal aortic aneurysm). In the first case, a 64-year-old male patient was admitted with acute lower limb ischaemia. CT-angiography revealed an occluded aortic aneurysm. During the emergency operation, the abdominal aneurysm was resected and an aortobifemoral bypass procedure was performed sparing the kidney’s isthmus. In the second case, the abdominal complaints were caused by an infrarenal abdominal aneurysm that involved both common iliac arteries. Aortobiiliac reconstruction was performed with planned separation of the kidney isthmus and reimplantation of the accessory renal artery. Symptomatic abdominal aortic aneurysm is an urgent indication for reconstruction. The preoperative CT- or MR-angiography play a key role in the indication and planning of the reconstruction. It is highly important for the vascular surgeon to have a clear picture of the blood supply of the horseshoe kidney and the urinary tract along with the anatomy of the aorta before the operation. The transperitoneal approach has several advantages over the retroperitoneal approach during vascular reconstruction surgery. Orv Hetil. 2020; 161(46): 1966–1971.

show abstract

Management and therapeutic options for abdominal aortic aneurysm coexistent with horseshoe kidney

Cited by 17 publications

References 50 publications

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney

Endovascular stent graft repair with chimney technique of an abdominal aortic aneurysm with concomitant horseshoe kidney

Best strategy in managing the association of Horse-shoe-Kidney and Abdominal Aortic Aneurysm: Case report

Nyitott hasi aortaaneurysma-műtétek patkóvese fennállása esetén

Contact Info

Product

Resources

About