Abstract
Reconstruction of an aberrant renal artery (ARA) is one of the possible problems when operating on an abdominal aortic aneurysm (AAA) associated with a horseshoe kidney (HSK). We performed AAA repair with a HSK using a quadrifurcated prosthetic graft. A 48-year-old man was referred to our institution for AAA repair. Preoperative abdominal computed tomography (CT) revealed an AAA of 50 mm in diameter and an HSK with ARA. We performed the operation using a transperitoneal approach via typical median laparotomy. The AAA was replaced by a quadrifurcated prosthetic graft without division of the renal isthmus, and the ARA was reconstructed. His postoperative course was uneventful with no evidence of renal dysfunction. Postoperative CT showed a patent reconstructed ARA. We found that reconstruction of an ARA using a quadrifurcated prosthetic graft was useful for the replacement of AAA associated with HSK.
