Zusammenfassung
Die Versorgung eines infrarenalen Aortenaneurysmas bei konkomitantem Vorliegen einer Hufeisenniere ist ein seltenes Ereignis. Hierbei ist mit einer hohen Rate an renovaskulären Anomalien zu rechnen. Unser Patient wurde transperitoneal nach Durchtrennung des Nierenisthmus mit Interposition einer Dacron®-Tubeprothese versorgt. Zwei kräftige zusätzliche Nierenarterien, die sich erst intraoperativ exakt darstellten, wurden reimplantiert. Die verschiedenen Therapiemöglichkeiten werden anhand der gesichteten Literaturdaten dargestellt, und das eigene Vorgehen wird erörtert.
Abstract
The treatment of an infrarenal aortic aneurysm associated with a horseshoe kidney is a rare event. There is a high incidence of concomitant renovascular anomalies. Our procedure of choice in this patient was the transperitoneal approach, separation of the renal isthmus, and reconstruction by interposition of a Dacron® tube graft. Two strong additional renal arteries were reimplanted. A literature review of the different treatment options is presented and our own procedural choice is discussed.
This is a preview of subscription content, log in via an institution to check access.
Literatur
Adoumine R, Hamman J (1997) Retroperitoneal repair of an abdomial aortic aneurysm associated with a horseshoe kidney. J Ky Med Assoc 95/4: 143–144
Akiyama K, Inoue T, Nemoto M et al. (2000) A case report of nonresective staple exclusion of abdominal aortic aneurysm associated with horseshoe kidney. Ann Thorac Cardiovasc Surg 6/3: 199–202
Canova G, Masini R, Santoro E et al. (1998) Surgical treatment of abdominal aortic aneurysm in association with horseshoe kidney. Three case reports and a review of technique. Tex Heart Inst J 25/3: 206–210
Ferko A, Krajina A, Jon B, Lesko M, Voboril Z (1997) Juxtarenal aortic aneurysm associated with horseshoe kidney. Transfemoral endoluminal repair. Arch Surg 132/3: 316–317
Loftus IK, Thompson MM, Fishwick G, Boyle JR, Bell PR (1998) Endovascular repair of aortic aneurysms in the presence of a horseshoe kidney. J Endovasc Surg 5/3: 278–281
Luther B, Sandmann W, Reiher L, Lynen P (1997) Aortenaneurysma bei Hufeisenniere—Spezielle Diagnostik und Therapie. Chirurg 68/4: 403–409
Moriyasu K, Funami M, Narisawa T et al. (1996) The retroperitoneal approach to aortoiliac surgery associated with horseshoe kidney: report of a case. Surg Today 26/8: 655–657
Morin JF, Johnston KW (1988) Thoracoabdominal retroperitoneal approach for repair of abdominal aortic aneurysm associated with horseshoe kidney. Ann Vasc Surg 2/1: 82–84
O´Hara PJ, Hakaim AG, Hertzer NR et al. (1993) Surgical management of aortic aneurysm and coexistent horseshoe kidney: review of a 31-year experience. J Vasc Surg 17/5: 940–947
Ramirez Fabian M, Vincente Aldea MT, Ucar Terren A, Timon Garcia A, Valdivia Uria JG (1999) Surgery of abdominal aortic aneurysm in horseshoe kidney. Report of a case and review of the literature. Arch Esp Urol 52/10: 1087–1089
Shortell CK, Welch EL, Ouriel K, Green RM, De Weese JA (1995) Operative management of coexistent aortic disease and horseshoe kidney. Ann Vasc Surg 9/1: 123–128
Stroosma OB, Kootstra G, Schurink GW (2001) Management of aortic aneurysm in the presence of a horseshoe kidney. Br J Surg 88/4: 500–509
Toursakissian B, Mejia A, Wholey MH et al. (2001) Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass. J Endovasc Ther 8/6: 604–608
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Klug, R., Hinterreiter, F., Loidl, W. et al. Aortenaneurysma—Versorgung bei Vorliegen einer Hufeisenniere. Gefässchirurgie 8, 117–118 (2003). https://doi.org/10.1007/s00772-003-0265-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00772-003-0265-8