Ex-vivo repair for multiple and intraparenchymal renal artery aneurysms

Author:

Jain Prashant1,Naik Anil L1,Ansari Azharuddin1,Kaman Lileshwar1,Tandup Cherring1ORCID,Gorsi Ujjwal1,Savlania Ajay1ORCID

Affiliation:

1. Postgraduate Institute of Medical Education and Research, India

Abstract

Abstract A 45-year-old woman with known hypothyroidism and no other comorbidities was incidentally found to have multiple right renal artery aneurysms. The largest aneurysm measured 5 x 4.5 cm and arose from an inferior segmental branch while two smaller aneurysms arose from an upper segmental branch of the right renal artery. We performed an ex-vivo repair with reverse saphenous vein graft under cold preservation followed by orthotopic kidney auto-transplantation. Her postoperative course was unremarkable and at 1-year follow-up her right kidney is preserved. In this article, we report successful treatment of complex multiple right renal artery aneurysms and describe the surgical technique used for successful repair.

Publisher

FapUNIFESP (SciELO)

Subject

Cardiology and Cardiovascular Medicine

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