Open AccessAbdominal Aortic Aneurysm with Rupture into the Inferior Vena Cava Associated with Horseshoe Kidney
Author(s) -
Ronald G. Landes,
Horace R. Trumbull,
Demétre M. Nicoloff
Publication year - 1978
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197803000-00021
Subject(s) - medicine , horseshoe kidney , inferior vena cava , abdominal aortic aneurysm , aneurysm , fistula , surgery , renal artery , radiology , arteriovenous fistula , kidney , aortic aneurysm , abdominal aorta , aorta
The first patient with an abdominal aortic aneurysm with rupture into the inferior vena cava associated with a horseshoe kidney is reported. Rupture of an aortic aneurysm into the inferior vena cava with formation of an aortocaval fistula has been reported in 100 patients. Aortic aneurysm in combination with horseshoe kidneys has been described in 34 patients. The diagnosis was made by an abdominal aortogram. The patient's preoperative condition was characterized by circulatory and renal failure subsequent to the development of a large aortocaval fistula. Operative repair was performed by dividing and rotating the kidney, dividing a renal polar artery, incising the aneurysm, and over-sewing the fistula from within. The patient's postoperative course was complicated by renal failure and sepsis and he died two months later. It is essential to preserve renal function in patients with this combination of anomalies.