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Brazilian Journal of Cardiovascular Surgery
On-line version ISSN 1678-9741
TEZVAL, Hossein; MIRZAIE, Masoud; SCHMITTO, Jan and SCHONDUBE, Friedrich. Operative management of aortoiliac occlusive disease in presence of horseshoe kidney: report of a case. Rev Bras Cir Cardiovasc [online]. 2005, vol.20, n.3, pp.336-339. ISSN 1678-9741. http://dx.doi.org/10.1590/S0102-76382005000300017.
Coexistence of aortoiliac arteriosclerosis with horseshoe kidney in a 57-year-old man is presented. Diagnosis of this unusual combination was made shortly before surgery. Magnetic resonance angiography is the most important preoperative diagnostic tool for surgical planning. A transabdominal approach provides excellent exposure of the abdominal aorta in patients with a horseshoe kidney without risk of injury to renal accessory arteries or to a ureter in an anomalous position. Implantation of an aorto-bifemoral Y prosthesis was made using a Dacron bifurcation. By diffuse atherosclerotic lesion and in presence of horseshoe kidney, an end-to-side proximal anastomosis of the aorta was carried out.
Keywords : Iliac artery [surgery]; Arteriosclerosis; Kidney [abnormalities].