Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492013000100013
Jornal Vascular Brasileiro
Case report

Tratamento endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Endovascular treatment of abdominal aortic aneurysm in patient with horseshoe kidney: a case report

José Manoel da Silva Silvestre; Gustavo Teixeira Fulton Schimit; Wander Eduardo Sardinha; Guilherme da Silva Silvestre; Guilon Otávio Santos Tenório; Fernando Barbosa Trevisan

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Resumo

O rim em ferradura é uma das anomalias urológicas congênitas mais comuns e está presente em cerca de 0,12% dos pacientes com aneurisma de aorta abdominal. O reparo cirúrgico convencional está associado a dificuldades técnicas que provavelmente aumentam a morbidade e a mortalidade, mas que podem ser evitadas com o tratamento endovascular. Relatamos um caso de um paciente de 64 anos com rim em ferradura e aneurisma de aorta abdominal, que foi submetido ao reparo endovascular do aneurisma com sucesso.

Palavras-chave

aneurisma de aorta abdominal, anormalidades congênitas, implante de prótese vascular

Abstract

The horseshoe kidney is one of the most common urologic anomalies and is present in about 0,12% of the patients with abdominal aortic aneurysm. The conventional surgical repair is associated with technical difficulties that probably increase morbidity and mortality, but can be averted by the endovascular treatment. We report a case of a 64-year-old patient with horseshoe kidney and abdominal aortic aneurysm, who underwent endovascular repair with success.

Keywords

abdominal aortic aneurysm, congenital abnormalities, blood vessel prosthesis implantation

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