Surgical Treatment of Symptomatic Large Aortic Aneurysm with Horseshoe Kidney

The association between Abdominal Aortic Aneurysm (AAA) and Horseshoe Kidney (HK) is rare, found in approximately 0.1% of aneurysm correction surgeries. The open surgical approach represents a challenge requiring consideration of three critical technical aspects, given each patient's unique anatomy: Type of exposure to AAA, the need to section the renal isthmus and whether to preserve the Accessory Renal Artery (ARA). We describe an open transperitoneal repair of a giant AAA with preservation of the isthmus and ARA. Keywords Horseshoe kidney; Abdominal aortic aneurysm; Anatomical pathological condition