Abdominal aortic aneurysm repair and the horseshoe kidney

Abstract

The coexistence of abdominal aortic aneurysm and horseshoe kidney is uncommon. In the case reported here, this condition was encountered when the patient was undergoing aortic reconstruction for aneurysm. Surgical repair in such circumstances remains a technical challenge because of the vagaries of arterial supply, coupled with the spatial constraints on aortic exposure and control Preoperative urography or arteriography may facilitate operative planning. Whether the situation is encountered knowingly or unexpectedly, extreme care must be taken to preserve segmental renal arterial supply both during and after aortic reconstruction.