Struggle in struggle: Surgical treatment of Leriche syndrome in a horseshoe kidney patient

Burak Can Depboylu

doi:10.5606/tgkdc.dergisi.2019.18062

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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