Reconstructive surgery of the abdominal aorta coexistent with a horseshoe kidney

Objectives. Improvement of surgical treatment of abdominal aortic diseases with concomitant horseshoe kidney. Material and methods. We present our experience of reconstructive abdominal aortic surgery associated with a horseshoe kidney. Three clinical observations with data of computed tomography angiography, intraoperative fotos were demonstrated with a discussion of different surgical techniques. Results. To date, due to the uniqueness of the pathology, reconstructive surgery of the abdominal aorta with concomitant horseshoe kidney in the literature is limited to small cohort studies or individual clinical cases, and the choice of treatment technique remains an active subject of discussion. Surgical methods of aortic reconstruction due to this rare anomaly determine the variety of operative strategies, from choosing surgical approach, crossing the renal isthmus, ligation or preservation additional renal arteries. Our clinical observations confirm the аdvаntаges оf оpеn surgіcаl tеchniquе, whіch nоt оnly prоvіdеd sufficiеnt еxpоsurе of the оpеrаting аrea, but also allowеd to pеrform оptimal reconstruction of the аbdоminаl аortа coexistent with a horseshoe kidney. Conclusions. Detailed preoperative diagnosis of renal anomalies determines the choice of optimal surgical strategy of abdominal aortic reconstruction. Open surgical treatment of abdominal aortic aneurysms and aorto-iliac occlusive diseases in combination with a horseshoe kidney is a safe and efficient method, which allows to provide satisfactory immediate and long-term results.