Aneurysms of the Renal Artery: A Study of 20 Cases

Surgery for Renal Artery Aneurysms: A Combined Series of Two Large Centers

“…The average age of patients ranges from 40 to 60 years. About 20% are bilateral and 30% multiple [9, 10]. …”

“…Spontaneous rupture of aneurysm is rare. About 60–75% of patients present with hypertension, which may be due to coexistent renal artery stenosis, segmental ischemia or parenchymal compression [3, 9, 10, 11, 12]. Abdominal bruit is present in approximately 10% of the patients and flank pain is an associated symptom in 21–50% of the patients [10, 12].…”

Aneurysms of the renal artery

“…There are about 300 observations [6 ] in the literature including numerous clinically diagnosed cases which have been reported in growing number in the past years as a result of improved diagnostic facilities.…”

“…These must be differentiated from renal or biliary stones, from calcified lymph nodes, --malignant or tuberculous ones, --retroperitoneal haematoma and, obviously, from calcifications of aneurysms of splenic, hepatic, pancreatic and mesenteric arteries, actually representing calcified atheromatous plaques of the arterial walls [17]. Aneurysms with roentgenologic evidence of calcification are usually extrarenal [6].…”

“…Therapy of renal artery aneurysms is as a rule surgical, and, according to general opinion, it should follow the diagnosis as soon as possible ( [6,8,14,16] and others), first of all because of the hazard of rupture which is particularly high during pregnancy and carries a high lethality owing to fatal haemorrhage [8].…”