Jacobs Journal of Surgery

Successful Endovascular Abdominal Aortic Aneurysm Repair Following Surgical Mobilization of an Accessory Renal Artery in the Setting of Horseshoe Kidney

Published on: 2015-07-21

Abstract

There are several reported cases of successful endovascular repair of abdominal aortic aneurysm (AAA) in patients with concomitant horseshoe kidney, in which accessory renal arteries were sacrificed. We describe a case of horseshoe kidney and AAA in which a surgical vascular conduit to accessory renal arteries created favorable anatomy for endovascular aneurysm repair (EVAR) while preserving renal perfusion. Although there are inherent risks in both open and endovascular AAA treatment when anatomic anomalies are present, combined therapies may provide a satisfactory and safe alternative, as reported in this case.

Keywords

Abdominal Aortic Aneurysms (AAA); Endovascular Aneurysm Repair/Endovascular Aortic Repair (EVAR); Horseshoe Kidney