馬蹄腎を合併した腹部大動脈瘤の3症例  [in Japanese] Three Cases of Abdominal Aortic Aneurysm (AAA) Associated with Horseshoe Kidney  [in Japanese]

Abstract

馬蹄腎を合併した腹部大動脈瘤の3症例を経験した.CTでは3例とも大動脈の腹側に騎乗するように馬蹄腎の峡部が認められた.また,MDCTやMRIで異所性腎動脈の分岐形態が明らかとなった.3例とも馬蹄腎峡部を切離することなく手術が可能で,症例1と2では異所性腎動脈の再建を行った.手術に際しては,馬蹄腎峡部の切離の是非や,異所性腎動脈の処置が問題となる.最終的には術中に判断を下さざるをえないことがまれではないので,術前に異所性腎動脈の分岐形態や,馬蹄腎峡部と動脈瘤の関係について,血管造影に加えて3D-CTを用いた十分な検索が必要である.

Horseshoe kidney is an unusual abnormality occurring in 0.25% of the population. In surgery for AAA with horseshoe kidney, reconstruction of aberrant renal and preservation of renal isthmus is important. We report 3 cases of AAA with horseshoe kidney treated successfully without division of the isthmus.

Journal

Japanese Journal of Cardiovascular Surgery   [List of Volumes]

Japanese Journal of Cardiovascular Surgery 33(4), 259-262, 2004-07-15  [Table of Contents]

The Japanese Society for Cardiouascular Surgery

References:  12

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Cited by:  7

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Codes

  • NII Article ID (NAID) :
    110003992940
  • NII NACSIS-CAT ID (NCID) :
    AN00193284
  • Text Lang :
    JPN
  • Article Type :
    Journal Article
  • ISSN :
    02851474
  • Databases :
    CJP  CJPref  NII-ELS 

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