Seclusion of an Abdominal Aortic Aneurysm in the Presence of an Unusual Horseshoe Kidney

Abstract

The coexistence of horseshoe kidney and abdominal aortic aneurysm is rare, and technical challenges during aneurysm repair are significant. This is a report of a case of an infrarenal aortic aneurysm associated with a horseshoe kidney with a parenchymatous isthmus draining to a third ureterocaliceal system and an anomalous vascular supply. Surgical management consisted of aneurysm exclusion and use of a bifurcation graft to the common iliac arteries. Arterial supply to the isthmus remained intact during operation and the postoperative clinical outcome was satisfactory.