Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature

Author:

Pappas Georgios M1ORCID,Sfyroeras George S1,Krinos Nikolaos T1ORCID,Theodosopoulos Ioannis T1,Spiliopoulos Stavros2ORCID,Brountzos Elias N2,Geroulakos George1

Affiliation:

1. Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece

2. Second Department of Radiology, Division of Interventional Radiology, Medical School, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece

Abstract

Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) has been infrequently reported in the literature. We report a case of a 42-year-old man suffering from a giant RAA combined with a congenital high-flow RAVF. The contrast-enhanced CTA showed a 12.7-cm RAA synchronous with an RAVF between the right renal artery and a draining vein. After a comprehensive preoperative assessment, an endovascular approach was decided. Successful embolization was performed using an Amplatzer vascular Plug, and multiple coils. Completion angiogram demonstrated no flow into the RAA. The results of longterm follow-up demonstrate that endovascular techniques are safe and effective for the management of RAAs combined with high-flow RAVF.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,General Medicine,Surgery

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