KIDNEY TRANSPLANTATION USING SPLIT HORSESHOE KIDNEY – A CASE REPORT
Dean Markić, Romano Oguić, Kristian Krpina, Antun Gršković, Dražen Rahelić, Nino Rubinić, Mauro Materljan, Ivan Vukelić, Sanjin Rački, Josip Španjol
Horseshoe kidney is the most common fusion anomaly of the kidney. Donors with horseshoe kidneys are considered suboptimal because of concomitant vascular and urologic abnormalities. We present a young cadaveric donor with a horseshoe kidney. After en-bloc explantation of the kidney, its vasculature and ureter were properly prepared and kidney was transected into two parts. Both moieties were successfully transplanted in two patients with endstage renal disease. Postoperative course was uneventful and both patients have normal kidney function 18 months after transplantation. Transplantation of horseshoe kidney is demanding due to complex anatomy but its results are equal when compared to standard transplant population. The transplant surgeon must be aware that horseshoe kidneys can safely be utilised.