ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Struggle in struggle: Surgical treatment of Leriche syndrome in a horseshoe kidney patient
Burak Can Depboylu1, Buğra Harmandar1, Serkan Yazman1, Kadir Arslan1
1Department of Cardiovascular Surgery, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey
DOI : 10.5606/tgkdc.dergisi.2019.18062
Coexistence of infrarenal aortic occlusion, known as Leriche syndrome, and horseshoe kidney is extremely rare. The isthmus of the latter, which usually contains functional renal parenchyma, complicates surgery. A 52-year-old male patient with Leriche syndrome and concomitant horseshoe kidney disease underwent a successful surgical repair. A median incision and transperitoneal approach were used to explore the infrarenal aorta, aortoiliac bifurcation, iliac arteries, and horseshoe kidney. The isthmus was connecting the lower poles over the aortoiliac bifurcation. Aortoplasty with aortobifemoral bypass was performed, preserving the horseshoe kidney and its accessory arteries. Operative and postoperative periods were uneventful. At eight months of follow-up, the patient was asymptomatic in daily activities.
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