Int J Angiol 2011; 20(4): 247-250
DOI: 10.1055/s-0031-1285105
CASE REPORT

© Thieme Medical Publishers

Percutaneous Endovascular Repair of Abdominal Aortic Aneurysm with Coexisting Horseshoe Kidney: Technical Aspects and Review of the Literature

Tze-Woei Tan1 , Alik Farber1
  • 1Section of Vascular and Endovascular Surgery, Boston University Medical Center, Boston, Massachusetts
Further Information

Publication History

Publication Date:
11 August 2011 (online)

ABSTRACT

Surgical repair of abdominal aortic aneurysms (AAAs) with coexisting horseshoe kidney (HSK) is technically challenging because of complex anatomy. Endovascular repair has emerged as a common approach to AAA repair and represents a valid alternative in selected patients with AAA and concomitant congenital renal anomalies. We report a case of successful percutaneous endovascular repair in a patient with coexistent AAA and HSK. Careful preoperative planning is essential in successful endovascular management of abdominal aneurysms in these patients.

REFERENCES

  • 1 Phelan J T, Bernatz P E, Deweerd J H. Abdominal aortic aneurysm associated with a horseshoe kidney: report of case.  Proc Staff Meet Mayo Clin. 1957;  32 (4) 77-81
  • 2 Wolf Y G, Fogarty T J, Olcott C I V et al.. Endovascular repair of abdominal aortic aneurysms: eligibility rate and impact on the rate of open repair.  J Vasc Surg. 2000;  32 (3) 519-523
  • 3 Ruppert V, Umscheid T, Rieger J et al.. Endovascular aneurysm repair: Treatment of choice for abdominal aortic aneurysm coincident with horseshoe kidney? Three case reports and review of literature.  J Vasc Surg. 2004;  40 (2) 367-370 Review
  • 4 Artioukh D Y, Wake P N, Edwards P R, Moody A P. Problems of abdominal aortic aneurysm associated with horseshoe kidney.  Eur J Vasc Endovasc Surg. 1997;  14 (1) 75-78
  • 5 Kaplan D B, Kwon C C, Marin M L, Hollier L H. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies.  J Vasc Surg. 1999;  30 (3) 407-415
  • 6 Waters A M, Rosenblum N D. Renal ectopic and fusion anomalies. Uptodate 19.2 May 4, 2010. 
  • 7 Eisendrath D N, Phifer F M, Culver H B. Horseshoe kidney.  Ann Surg. 1925;  82 (5) 735-764
  • 8 Stroosma O B, Kootstra G, Schurink G W. Management of aortic aneurysm in the presence of a horseshoe kidney.  Br J Surg. 2001;  88 (4) 500-509
  • 9 Greenhalgh R M, Brown L C, Kwong G P, Powell J T, Thompson S G. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial.  Lancet. 2004;  364 (9437) 843-848
  • 10 Lee W A, Brown M P, Nelson P R, Huber T S. Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique).  J Vasc Surg. 2007;  45 (6) 1095-1101
  • 11 Ferko A, Krajina A, Jon B, Lesko M, Voboril Z. Juxtarenal aortic aneurysm associated with a horseshoe kidney. Transfemoral endoluminal repair.  Arch Surg. 1997;  132 (3) 316-317
  • 12 Wyers M C, Fillinger M F, Schermerhorn M L et al.. Endovascular repair of abdominal aortic aneurysm without preoperative arteriography.  J Vasc Surg. 2003;  38 (4) 730-738

Alik FarberM.D. F.A.C.S. F.I.C.A. 

Section of Vascular and Endovascular Surgery, Boston University Medical Center

88 East Newton Street, Collamore Building, 5th Floor, Boston, MA 02119-2393

Email: alik.farber@bmc.org

    >