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Updated: Jul 4, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Abdominal aortic aneurysm associated with horseshoe kidney
Yujiro Kawanishi1, Hiroshi Tanaka, Keitaro Nakagiri
1Division of Cardiovascular, Thoracic and Pediatric Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. yujirokawanishi@hotmail.com
Asian Cardiovascular & Thoracic Annals
|June 3, 2008
Summary
Repairing abdominal aortic aneurysms in patients with horseshoe kidneys presents challenges. A left retroperitoneal approach proved successful for abdominal aortic aneurysm repair in a woman with this complex anatomy.
Area of Science:
- Vascular Surgery
- Anatomical Variations
Background:
- Abdominal aortic aneurysm (AAA) repair in the presence of renal anomalies, such as horseshoe kidney, poses unique surgical challenges.
- The optimal surgical strategy for AAA in patients with horseshoe kidney remains debated, requiring careful consideration of anatomical complexities.
Observation:
- A 77-year-old female patient presented with an abdominal aortic aneurysm and a horseshoe kidney.
- The horseshoe kidney presented a complex anatomical variation that needed to be addressed during AAA repair.
Findings:
- Successful repair of the abdominal aortic aneurysm was achieved using a left retroperitoneal approach.
- This surgical approach facilitated safe and effective management of the AAA despite the presence of the horseshoe kidney.
Implications:
- The left retroperitoneal approach may be a viable option for managing abdominal aortic aneurysms in patients with horseshoe kidneys.
- This case highlights the importance of tailored surgical strategies for complex vascular pathologies involving anatomical variations.
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