Summary
Based on the own experience and on an intensive study of the literature with a total of 52 patients with an aortic aneurysm and a horseshoe kidney the problems of operative treatment are discussed. The conclusion is made, that the treatment of this rare combination has its special difficulties in nearly 2/3 of all cases, but the same results as conventional surgery of aortic aneurysms, when the renal artery abnormalities are respected and treated with adequate vascular surgical skill.
Zusammenfassung
An Hand eines eigenen Falles und eines eingehenden Studiums der Literatur mit insgesamt 52 Patienten wird die Problematik eines Aortenaneurysmas in Anwesenheit einer Hufeisenniere diskutiert. Als Fazit wird gezogen, daß sich bei etwa 2/3 aller Patienten bei der operativen Behandlung dieser relativ seltenen Kombination spezielle gefäßchirurgische Probleme ergeben, die Resultate sich jedoch von denjenigen der konventionellen Aneurysmachirurgie nicht unterscheiden, sofern die angetroffenen Nierenarterienanomalien entsprechende Berücksichtigung finden und adäquat gefäßchirurgisch behandelt werden.
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Schwilden, E.D., Barwegen, M. & van Dongen, R.J.A.M. Aortenaneurysma und Hufeisenniere — Kasuistik und Literaturübersicht. Langenbecks Arch Chiv 346, 135–148 (1978). https://doi.org/10.1007/BF01261400
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DOI: https://doi.org/10.1007/BF01261400