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Updated: Jul 18, 2026
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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Abdominal aortic aneurysm in association with horseshoe kidney
V G Papavassiliou1, I G Douvas, D K Xanthopoulos
1Department of Vascular Surgery, Sismanoglio General Hospital of Athens, Greece. papavass@hotmail.com
VASA. Zeitschrift Fur Gefasskrankheiten
|November 17, 2006
Summary
This study details the surgical repair of an abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney (HSK). A vascular graft successfully treated the AAA while preserving the kidney's isthmus.
Area of Science:
- Vascular Surgery
- Urology
- Anatomy
Background:
- Abdominal aortic aneurysms (AAA) are life-threatening vascular conditions.
- Horseshoe kidneys (HSK) are congenital anomalies that can complicate abdominal surgery.
- Co-occurrence of AAA and HSK presents unique surgical challenges.
Observation:
- A 70-year-old male patient presented with a diagnosed abdominal aortic aneurysm.
- The patient also had a horseshoe kidney, a fusion anomaly of the kidneys.
- The aneurysm was located in close proximity to the horseshoe kidney's parenchymal isthmus.
Findings:
- Preoperative diagnosis facilitated a planned surgical approach.
- Surgical treatment involved a median laparotomy and repair of the AAA using a vascular tube graft.
- The extensive parenchymal isthmus of the horseshoe kidney was successfully preserved during the AAA repair.
Implications:
- This case demonstrates the feasibility of safely repairing AAAs in patients with horseshoe kidneys.
- The surgical technique highlights the importance of meticulous planning and execution in complex cases.
- Successful management preserves renal function and avoids complications associated with HSK manipulation.
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