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

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.