Surgical Repair of Saccular Renal Artery Aneurysm

Abstract

Renal artery aneurysm is a relatively uncommon condition that is usually detected incidentally after an imaging workup. A renal artery aneurysm is defined as a dilated segment of renal artery that exceeds twice the diameter of a normal renal artery. Symptomatic renal artery aneurysms can cause hypertension, pain, hematuria, and renal infarction. Asymptomatic renal artery aneurysms may seem benign, but the potential for rupture and fistulization increases with size. In this report we describe the treatment strategy of saccular renal artey aneurysm in a 47-year-old man who presented with flank pain

Keywords

• Renal artery; aneurysm; flank pain.

Sakküler Renal Arter Anevrizmasının Cerrahi Onarımı

Abstract

Renal arter anevrizmaları nadir görülür ve sıklıkla değişik amaçlı yapılan incelemelerde rastlantısal olarak saptanır. Renal arter segmentinin çapı normal çapın %50'sinden fazla genişlediğinde renal arter anevrizma olarak tanımlanır. Renal arter anevrizması, hipertansiyon, ağrı, hematüri ve parankimal renal infarkta bağlı semptomlarla ortaya çıkabilir. Asemptomatik olan hastaların prognozu daha iyi seyretse de, çapı arttıkça rüptür ve fistül riski artmaktadır. Yazımızda 47 yaşında bir erkek hastanın, yan ağrısı araştırılması sırasında saptanan sakküler renal arter anevrizmasının başarılı cerrahi onarımını sunuyoruz.

Keywords

• Renal arter; anevrizma; yan ağrı.

References

1. Tham G, Ekelund L, Herrlin SE. Renal artery aneurysms natural history and prognosis. Ann Surg 1983;197:348-52.
2. Stanley JC, Rhodes EL, Gewertz BL, Chang CY, Walter JF, Fry WJ. Renal artery aneurysms significance of macroaneurysms exclusive of dissections and fibrodysplastic mural dilations. Arch Surg 1975;110:1327-33.
3. Tan WA, Chough S, Saito J, Wholey MH, Eles G. Covered stent for renal artery aneurysm. Catheter Cardiovasc Interv 2001;52:106-9.
4. Dean RH, Meacham PW, Weaver FA. Ex vivo renal artery recons- tructions, indications and techniques. J Vasc Surg 1986;4:546-52.
5. Bulbul MA, Farrow GA. Renal artery aneurysms. Urology 1992;40:124-6.
6. Rundback JH, Rizvi A, Rozenbilt GN. Percutaneous stent-graft management of renal artery aneurysms. J Vasc Interv Radiol 2000;11:1189-93.
7. Yang JC, Hye RJ. Ruptured renal artery aneurysm during preg- nancy. Ann Vasc Surg 1996;10:370-2.
8. Hupp T, Allenberg JR, Post K, Roeren T, Meier M, Clorius JH. Re- nal artery aneurysm, surgical indications and results. Eur J Vasc Surg 1992;6:477-86.

9. Pershad A, Heuser R. Renal artery aneurysm; successful exclusi- on with a stent graft. Catheter Cardiovasc Interv 2004;61:314-6.
10. Bisschops RH, Popma JJ, Meyerovitz MF. Treatment of fibromus- cular dysplasia and renal artery aneurysm with use of a stentgraft. J Vasc Interv Radiol 2001;12:757-60.
11. Henriksson C, Bjorkerud S, Nilson AE, Pettersson S. Natural his- tory of renal artery aneurysm elucidated by repeated angiography and pathoanatomical studies. Eur Urol 1985;11:244-8.
12. Krumme B, Blum U. Renal artery aneurysm and fibromuscular dysplasia. Nephrol Dial Transplant 1997;12:1067-9.
13. Yamamoto N, Ishihara S, Yoshimura S, Ueda T, Takeuchi T, Kawa- da Y. Endovascular embolization of a renal artery aneurysm using interlocking detachable coils. Scand J Urol Nephrol 1998;32:143-5.