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Updated: Jul 14, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Abdominal aortic aneurysm with coexistent horseshoe kidney
Mauro Frego1, Giorgio Bianchera, Imerio Angriman
1First Surgical Clinic, Department of Surgical and Gastroenterological Sciences, University of Padua, Policlinico, Via Giustiniani 2, 35128, Padova, Italy.
Surgery Today
|June 27, 2007
Summary
Surgical repair of abdominal aortic aneurysms (AAA) with horseshoe kidney (HSK) is feasible and safe. Advanced techniques and renal artery management allow for successful outcomes, similar to standard AAA repairs.
Area of Science:
- Vascular Surgery
- Urology
- Anatomical Variations
Background:
- Abdominal aortic aneurysm (AAA) repair in patients with horseshoe kidney (HSK) presents unique surgical challenges.
- HSK anomalies increase the risk of complications and may be unexpectedly discovered during surgery.
Observation:
- A review of 500+ AAA patients identified five with concomitant HSK.
- Three patients with AAA and HSK underwent successful surgical repair using diverse techniques.
- Minor renal arteries were occluded, with one case resulting in a minor, non-impairing renal infarct.
Findings:
- Horseshoe kidney should not be a contraindication for AAA repair.
- Preoperative imaging is crucial for planning surgical approaches.
- Modern surgical strategies, including retroperitoneal or endovascular repair and deliberate occlusion of minor renal arteries, are effective.
Implications:
- Patients with AAA and HSK can achieve outcomes comparable to those without HSK.
- Careful planning and tailored surgical techniques ensure patient safety and successful aneurysm treatment.
- This approach minimizes anatomical challenges associated with HSK during AAA repair.
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