Marable, Samuel A.
February 1970
Angiology;Feb1970, Vol. 21 Issue 2, p124
Academic Journal
Two patients are described in whom the presence of a horseshoe' kidney added unusual technical problems to the removal of an aneurysm of the infrarenal aorta. In each instance the aneurysm was successfully removed without causing a demonstrable change in renal function. Only six similar cases were identified by a review of the literature. Horseshoe kidneys frequently have multiple renal arteries originating from the distal aorta. In cases of horseshoe kidney in which an operation is being considered for an associated aneurysm of the infrarenal aorta, aortography to define the renal blood supply should be performed preoperatively. Adequate exposure of the aneurysm may require division of the renal isthmus but was unnecessary in the two cases described in this report. Because transection of the isthmus may be necessary and because of the marked variation in the collecting systems of horseshoe kidneys, urography is essential before an operation is performed to remove an associated aneurysm of the distal aorta.


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