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Aortenaneurysma und Nierenanomalien

Aortic aneurysm and anomalies of the kidney

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Summary

Because of the embryological position of the kidney in the small pelvis anomalies of the kidney are mostly localized in the area of the distal aorta. Therefore they can make the resection of an aortic aneurysm more difficult. While anomalies of the renal veins and the urinary tract hardly impair the resection of an aortic aneurysm, an abnormal arterial vascularization of the kidney can be an essential problem during operation. According to criteria concerning localization the arterial anomalies are divided into 4 types. For every type techniques of resection and reconstruction guaranteeing the viability of the abnormal arteries and the kidney are demonstrated.

Zusammenfassung

Infolge ihrer embryonalen Lage im kleinen Becken sind Anomalien der Niere in der Regel im Bereich der distalen Aorta lokalisiert und können deshalb eine erforderliche Aortenaneurysmaresektion erheblich erschweren. Während Anomalien der Nierenvenen und ableitenden Harnwege eine Aortenaneurysmaresektion kaum beeinträchtigen, kann eine abnormale arterielle Nierenvascularisation ein wesentliches operationstechnisches Problem sein. An Hand lokalisationstechnischer Kriterien erfolgt eine Einteilung der Arterienanomalien in 4 Typen. Entsprechende typenkonform standardisierte Resektions- und Rekonstruktionstechniken, die den Erhalt der abnormalen Arterien ermöglichen, werden demonstriert.

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Literatur

  1. Boijsen, E.: Angiographic studies of the anatomy of single and multiple renal arteries. Acta Radiol. [Suppl.]183 (1959)

  2. Bugge-Asperheim, B., Birkeland, S., Helgerud, P.: Horseshoe kidney and ruptured abdominal aortic aneurysm. Scand. J. Urol. Nephrol.11, 89–92 (972)

    PubMed  Google Scholar 

  3. Cayten, C., Davis, A., Berkowitz, H.: Ruptured abdominal aortic aneurysms in the presence of horseshoe kidneys. Surg. Gynecol. Obstet.135, 945–949 (1972)

    PubMed  Google Scholar 

  4. Cohn, L., Stoney, R., Wylie, E.: Abdominal aortic aneurysm and horseshoe kidney. Ann. Surg.170, 870–874 (1969)

    PubMed  Google Scholar 

  5. Ezzet, F., Dorazio, R., Herzberg, R.: Horseshoe and pelvic kidneys associated with abdominal aortic aneurysms. Am. J. Surg.134, 196–198 (1977)

    PubMed  Google Scholar 

  6. Frawley, J., Dickson, G., Jamieson, C., Eastcott, H.: Abdominal aortic aneurysm and horseshoe kidney. Br. J. Surg.59, 513–517 (1972)

    PubMed  Google Scholar 

  7. Fuller, C., Spence, H., Willbanks, O.: Management of horseshoe kidney amd pelvic kidney during aortic operation. South. Med. J.67, 492–495 (1974)

    PubMed  Google Scholar 

  8. Glenn, J. F.: Analysis of fifty-one patients with horseshoe kidney. N. Engl. J. Med.261, 684–687 (1959)

    PubMed  Google Scholar 

  9. Hardy, J., Timmis, H.: Abdominal aortic aneurysms: Special problems. Ann. Surg.173, 945–962 (1971)

    PubMed  Google Scholar 

  10. Kilgore, T., Johnston, J.: Aneurysms of the abdominal aorta with special problems. Am. Surg.37, 238–244 (1971)

    PubMed  Google Scholar 

  11. Killen, D., Scott, H., Rhamy, R.: Aneurysm and arterial occlusive disease of the abdominal aorta and its major branches associated with horseshoe kidney. Am. J. Surg.116, 920–924 (1968)

    PubMed  Google Scholar 

  12. Landes, R. G., Trumbull, H. R., Nicoloff, D. M.: Abdominal aortic aneurysm with rupture into the inferior vena cava associated with horseshoe kidney. Ann. Surg.187, 329–331 (1978)

    PubMed  Google Scholar 

  13. Moore, S. W.: Diskussion zu: Hardy, J., Timmis, H.: Abdominal aortic aneurysms: Special problems. Ann. Surg.173, 963 (1971)

    Google Scholar 

  14. Schwilden, E.-D., Barwegen, M., van Dongen, R.: Aortenaneurysma und Hufeisenniere-Kasuistik und Literaturübersicht. Langenbecks Arch. Chir346, 135–148 (1978)

    PubMed  Google Scholar 

  15. Syke, D.: The arterial supply of the human kidney with special reference to accessory renal arteries. Br. J. Surg.50, 368–374 (1962)

    Google Scholar 

  16. Symes, J., Eadie, D.: Horseshoe kidney and abdominal aortic aneurysm. Br. J. Surg.60, 243–245 (1973)

    PubMed  Google Scholar 

  17. Szilagyi, E., Smith, R., Whitcomb, J.: The kidney in surgery of the abdominal aorta. Arch. Surg.79, 252–265 (1959)

    Google Scholar 

  18. Thompson, J. E.: Diskussion zu: Hardy, J., Timmis, H.: Abdominal aortic aneurysms: Special problems. Ann. Surg.173, 964 (1971)

    Google Scholar 

  19. Vereecken, L., Derom, F., De Roose, J.: A case of ruptured aortic aneurysm associated with horseshoe kidney. Acta Chir. Belg.72, 46–49 (1973)

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Abteilung Gefäßchirurgie, Chirurgische Universitätsklinik „Wilhelmina Gasthuis”, Eerste Helmersstraat 104, 1054 EG, Amsterdam, Niederlande

    M. G. M. H. Barwegen

  2. Neue Anschrift (auch für Sonderdruckanforderungen): Abteilung Gefäßchirurgie, Städtische Krankenanstalten, Hirschlandstraße 97, D-7300, Esslingen

    E. -D. Schwilden

Authors
  1. E. -D. Schwilden
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  2. M. G. M. H. Barwegen
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Vortrag gehalten auf der 96. Tagung der Deutschen Gesellschaft für Chirurgie

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Schwilden, E.D., Barwegen, M.G.M.H. Aortenaneurysma und Nierenanomalien. Langenbecks Arch Chiv 350, 121–128 (1979). https://doi.org/10.1007/BF01234294

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  • DOI: https://doi.org/10.1007/BF01234294

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