Surgical management of abdominal aortic aneurysm associated with polycystic kidney disease: report of two cases.

An abdominal aortic aneurysm associated with polycystic kidney disease is a comparatively rare but quite important condition because treating this disease is difficult, especially regarding the aortic approach. We herein present two such patients who underwent a left nephrectomy followed by an aneurysmectomy which was reconstructed with a bifurcated prosthetic graft. In both cases, the left nephrectomy enabled us to obtain an adequate operative field to expose the abdominal aorta and the surgical procedures could thus all be safely completed. The left nephrectomy is therefore considered to be a preferable surgical method for treating those patients with both conditions described here.