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Giant abdominal aortic aneurysm combined with horseshoe kidney (case report)

Abstract

A horseshoe kidney is one of the most common anomalies of renal structure. This pathology combined with an abdominal aortic aneurysm is of special interest because surgical policy for the patient cohort concerned is not standardized and depends on a plurality of individual anatomical peculiarities.

Described herein is a clinical case report regarding successful surgical treatment of a patient presenting with a giant abdominal aortic aneurysm and a coexisting horseshoe kidney. Through a laparotomic access, we performed resection of the juxtarenal abdominal aortic aneurysm, aortic-common-iliac bifurcation prosthetic repair using a synthetic bifurcated graft with reimplantation of the right renal artery into the aorta. At the stage of aneurysm resection, perfusion of the kidney with autologous blood was performed through the right renal artery. The postoperative period proved uneventful. The levels of blood urea and creatinine did not exceed the admissible values. The patient was discharged home on POD 10 in a satisfactory condition.

Keywords:abdominal aortic aneurysm; juxtarenal aneurysm; giant aneurysm; horseshoe kidney; renal arteries

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Karpunkin O.A.; data collection and handling – Tremasov M.N.; draft manuscript preparation – Tremasov M.N., Karpunkin O.A.; manuscript revision – Kostin S.V.

For citation: Karpunkin O.A., Tremasov M.N., Kostin S.V. Giant abdominal aortic aneurysm combined with horseshoe kidney (case report). Angiology and Vascular Surgery. 2023; 29 (1): 125–30. DOI: https://doi.org/10.33029/1027-6661-2023-29-1-125-130 (in Russian)

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Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.