CASE REPORTS  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2004 October;45(5):505-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Surgical treatment of abdominal aortic aneurysm associated with horseshoe kidney and coagulopathy. Case report

Noguchi M., Hirashima S., Eishi K., Takahashi H., Hazama S., Takai H., Koga S.

¹ Department of Cardiovascular Surgery Nagasaki Municipal Medical Center, Nagasaki, Japan 2 Department of Urology Nagasaki Municipal Medical Center, Nagasaki, Japan 3 Department of Cardiovascular Surgery Nagasaki University School of Medicine Nagasaki, Japan 4 Department of Urology Nagasaki University School of Medicine Nagasaki, Japan

The coexistence of horseshoe kidney and aortic aneurysm poses a technical challenge to the vascular surgeon during aneurysm repair. Whether to divide the renal isthmus and how to approach the aneurysm are still matters of controversy, and coagulopathy sometimes occurs in patients with nontreated abdominal aortic aneurysm (AAA). We describe the successful surgical repair of an AAA with horseshoe kidney via the transperitoneal approach and division of the renal isthmus by harmonic scalpel. Exclusion of a thrombosed aneurysm can ameliorate coagulopathy due to AAA.