Symptomatic Renal Artery Aneurysm Dealt with Aneurysmectomy and Patch Closure

Abstract

Renal artery aneurysm (RAA) is a rare disease, and the precise incidence has not been very well known. It appears that with the increasing use of diagnostic ultrasound, computed tomography and arteriography, RAA are being identified more frequently than in the past. Rupture of RAA is associated with 10% mortality and the chance of nephrectomy is very high. Although, most of renal artery aneurysms are treated by endovascular technique, surgery is often necessary for aneurysms associated with bifurcation area or large braches. Here, we report a case of saccular renal artery aneurysm which was managed by open surgery.

Hybrid Treatment of Coexisting Renal Artery Aneurysm and Abdominal Aortic Aneurysm in a Gallbladder Cancer Patient

“…RAA is the second most common visceral artery aneurysm after splenic artery aneurysm and before common hepatic artery aneurysm [ 2 ]. Four types of RAA have been described: macroaneurysms, dissecting RAA, aneurysms associated with fibromuscular dysplasia, and microaneurysms associated with arteritis [ 3 , 4 ]. We report a rare case of coexisting RAA with AAA treated by hybrid method, which consisted of endovascular aneurysm repair (EVAR) for AAA and open surgery for RAA located adjacent to the distal branches of the renal artery.…”