Surgical Treatment of Abdominal Aortic Aneurysm Associated with Horseshoe Kidney: Symphysiotomy Using Harmonic Focus

Coexistence of horseshoe kidney and abdominal aortic aneurysm (AAA) is a rare entity that presents a technical challenge to vascular surgeons. How to approach such an AAA with horseshoe kidney and whether to divide the renal isthmus remains a controversial issue. We report here the successful surgic...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(Supplement), pp.922-925
Main Authors: Chihara, Shingo, Fujino, Takayuki, Matsuo, Hideki, Hidaka, Atsuhiro
Format: Article
Language:English
Subjects:
abdominal aortic aneurysm
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Blood Vessel Prosthesis Implantation
Equipment Design
Harmonic Focus
horseshoe kidney
Humans
Kidney - abnormalities
Kidney - blood supply
Kidney - diagnostic imaging
Kidney - surgery
Male
Middle Aged
Renal Artery - diagnostic imaging
Renal Artery - surgery
Surgical Instruments
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonic Surgical Procedures - instrumentation
Urogenital Abnormalities - complications
Urogenital Abnormalities - diagnosis
Urogenital Abnormalities - surgery
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Summary:Coexistence of horseshoe kidney and abdominal aortic aneurysm (AAA) is a rare entity that presents a technical challenge to vascular surgeons. How to approach such an AAA with horseshoe kidney and whether to divide the renal isthmus remains a controversial issue. We report here the successful surgical repair of an AAA with horseshoe kidney via the transperitoneal approach with division of the renal isthmus by Harmonic Focus, which allowed easy division of the isthmus without bleeding. Harmonic Focus, a hand-held type of harmonic scalpel, was thus useful in symphysiotomy of the horseshoe kidney.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.13-00115