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March 1997

Juxtarenal Aortic Aneurysm Associated With a Horseshoe Kidney: Transfemoral Endoluminal Repair

Author Affiliations

From the Department of War Surgery, Purkyne Military Academy, Hradec Králové, Czech Republic (Dr Ferko); and the Departments of Radiology (Dr Krajina) and Surgery (Drs Jon, Leško, and Vobořil), University Hospital, Hradec Králové, Czech Republic.

Arch Surg. 1997;132(3):316-317. doi:10.1001/archsurg.1997.01430270102021

Horseshoe kidney complicates aortic aneurysm surgery in 1 of 200 cases. A patient with asymptomatic juxtarenal aortic aneurysm associated with a horseshoe kidney was successfully treated by stent graft placement. The kidney was supplied by 4 renal arteries. The proximal uncovered part of the stent graft was anchored across the origin of 1 renal artery. Another renal artery, arising from the aneurysmal sac, was occluded by the covered part of the stent graft. A kidney infarction developed postoperatively, which did not affect renal function or blood pressure. The patient was discharged from the hospital in good condition. Follow-up computed tomography and angiography confirmed a satisfactory result of the endovascular treatment. Arch Surg. 1997;132:316-317

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