RESUMEN
The presence of vascular and renal anatomical anomalies can create technical problems during abdominal aortic surgery and may give rise to serious intraoperative complications. We present a case of an abdominal aortic aneurysm resected in a patient with the extremely rare coexistence of a left-sided inferior vena cava and horseshoe kidney. The diagnosis of the anomalies was made prior to aortic surgery. CT-scan of the abdomen was the most accurate preoperative investigation. Aortic surgery was performed through a transperitoneal approach which allowed easy access to the aneurysm despite the presence of the left-sided inferior vena cava and horseshoe kidney. Recognition of vascular and renal anomalies on preoperative imaging studies is important in the surgical treatment of abdominal aortic aneurysms. If possible anomalies are recognized in time and treated correctly, the morbidity and mortality of aneurysm repair should not be influenced.
Asunto(s)
Anomalías Múltiples , Aneurisma de la Aorta Abdominal/cirugía , Riñón/anomalías , Vena Cava Inferior/anomalías , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Aneurisma de la Aorta Abdominal/complicaciones , Arteria Ilíaca/anomalías , Anciano , Angiografía de Substracción Digital , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Aneurisma de la Aorta Abdominal/cirugía , Humanos , Arteria Ilíaca/diagnóstico por imagen , Masculino , Músculos Psoas , Tomografía Computarizada por Rayos XRESUMEN
A case of a 50-year-old woman with aortoiliac arteriosclerosis and an associated horseshoe kidney is presented. The diagnosis of this unusual combination was made prior to surgery; reconstruction was done by a Dacron bifurcation prosthesis. Ultrasonography, intravenous pyelography and aortography is important for "surgical planning".