Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492013000100013
Jornal Vascular Brasileiro
Case report

Tratamento endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Endovascular treatment of abdominal aortic aneurysm in patient with horseshoe kidney: a case report

José Manoel da Silva Silvestre; Gustavo Teixeira Fulton Schimit; Wander Eduardo Sardinha; Guilherme da Silva Silvestre; Guilon Otávio Santos Tenório; Fernando Barbosa Trevisan

Downloads: 0
Views: 1211

Resumo

O rim em ferradura é uma das anomalias urológicas congênitas mais comuns e está presente em cerca de 0,12% dos pacientes com aneurisma de aorta abdominal. O reparo cirúrgico convencional está associado a dificuldades técnicas que provavelmente aumentam a morbidade e a mortalidade, mas que podem ser evitadas com o tratamento endovascular. Relatamos um caso de um paciente de 64 anos com rim em ferradura e aneurisma de aorta abdominal, que foi submetido ao reparo endovascular do aneurisma com sucesso.

Palavras-chave

aneurisma de aorta abdominal, anormalidades congênitas, implante de prótese vascular

Abstract

The horseshoe kidney is one of the most common urologic anomalies and is present in about 0,12% of the patients with abdominal aortic aneurysm. The conventional surgical repair is associated with technical difficulties that probably increase morbidity and mortality, but can be averted by the endovascular treatment. We report a case of a 64-year-old patient with horseshoe kidney and abdominal aortic aneurysm, who underwent endovascular repair with success.

Keywords

abdominal aortic aneurysm, congenital abnormalities, blood vessel prosthesis implantation

References

Campbell MF. Urology. 1970:448.

Ferko A, Krajina A, Jon B, Lesko M, Voboril Z. Juxtarenal aortic aneurysm associated with a horseshoe kidney: transfemoral endoluminal repair. Arch Surg. 1997;132:316-7.

Bonamigo TP, Tornquist FA, Furlan NM. Aneurisma da aorta abdominal e a presença de rim em ferradura. Cir Vasc Angiol. 1999;16:59-64.

Eisendrath DN, Phifer FM, Culver HB. Horseshoe kidney. Ann Surg. 1925;82:735-64.

Artioukh DY, Wake PN, Edwards PR, Moody AP. Problems of abdominal aortic aneurysm associated with horseshoe kidney. Eur J Vasc Endovasc Surg. 1997;14:75-8.

Faggioli G, Freyrie A, Pilato A. Renal anomalies in aortic surgery: contemporary results. Surgery. 2003;133:641-6.

Gutierrez R. Operative technique for division of renal isthmus in horseshoe kidney. Am J Surg. 1942;55:762-7.

Donati A, Bartolomeo R, Turinetto B. Abdominal aortic aneurysm and horseshoe kidney. J Cardiovasc Surg. 1980;21:632.

Faris I, Buxton B. Aneurysm surgery. 1995:175-80.

Stroosma OB, Koostra G, Schurink GWH. Management of aortic aneurysm in the presence of a horseshoe kidney. Br J Surg 2001. ;88(500-9).

Taylor DC, Sladen JG, Maxwell T. Aortic surgery and horseshoe kidney: a challenge surgical problem. Can J Surg. 1987;30:431 PMid:3664411.

Kasirajan K, O'Hara PJ. Renal ectopia and renal fusion in patients requiring abdominal aortic operations. Current therapy in vascular surgery. 2001:257-61.

Cronenwett JL, Krupski WC, Rutherford RB. Abdominal aortic and iliac aneurysms. Vascular surgery. 2000:1246-81.

Aquino RV, Rhee RY, Muluk SC, Tzeng EY, Nita-Missig C, Makaroun MS. Exclusion of accessory renal arteries during endovascular repair of abdominal aortic aneurysms. J Vasc Surg.. 2001;34:878-84.

Kaplan DB, Kwon CC, Marin ML, Hollier LH. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies. J Vasc Surg. 1999;30:407-16.

Dorffner R, Thurnher S, Prokesch R, Youssefzadeh S, Holzenbein T, Lammer J. Spiral ct during selective accessory renal artery angiography: assessment of vascular territory before aortic stent-grafting. Cardiovasc Interv Radiol. 1998;21:179-82.

Loftus IK, Thompson MM, Fishwick G, Boyle JR, Bell PRF. Endovascular repair of aortic aneurysms in the presence of a horseshoe kidney. J Endovasc Surg. 1998;5:278-81.

Kaplan DB, Kwon CC, Marin ML, Hollier LH. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies. J Vasc Surg. 1999;30:407-16.

Lee WA, Rubin GD, Arko F, Hill BB, Zarins CK. Endovascular stent graft repair of an infrarenal abdominal aortic aneurysm with a horseshoe kidney. Circulation. 2001;103:2126-7.

Toursarkissian B, Mejia A, Wholey MHh, Lawler MA, Thompson IM, Sykes MT. Endovascular aaa repair in a patient with a horseshoe kidney and an isthmus mass. J Endovasc Surg. 2001;8:604-8.

Teijink JAW, Odink HF, Bendermacher B, Welten RJTJ, Veldhuijzen Van Zanten GO. Ruptured aaa in a patient with a horseshoe kidney: emergent treatment using talent acute aneurysm repair kit. J Endovasc Surg. 2003;10:240-3.

Aquino RV, Rhee RY, Muluk SC, Tzeng EY, Nita-Missig C, Akaroun MS. Exclusion of accessory renal arteries during endovascular repair of abdominal aortic aneurysms. J Vasc Surg. 2001;34:878-84.

Ruppert V, Umscheid T, Rieger J. Endovascular aneurysm repair: treatment of choice for abdominal aortic aneurysm coincident with horseshoe kidney? Three case reports and review of literature. J Vasc Surg. 2004;40:367-70.

White RA, Donayre C, Walot I, Stewart M. Abdominal aortic aneurysm rupture following endoluminal graft deployment: report of a predictable event. J Endovasc Ther. 2000;7:257-62.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddfb3a90e8825304d61c40c jvb Articles

J Vasc Bras

Share this page
Page Sections