Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.210012
Jornal Vascular Brasileiro
Case Report

Ex-vivo repair for multiple and intraparenchymal renal artery aneurysms

Reparo Ex Vivo de Aneurismas Intraparenquimatosos Múltiplos da Artéria Renal

Prashant Jain; Anil L Naik; Azharuddin Ansari; Lileshwar Kaman; Cherring Tandup; Ujjwal Gorsi; Ajay Savlania

Downloads: 0
Views: 668

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.

Keywords

complex renal artery aneurysm, ex-vivo repair, auto-transplantation, orthotopic

Resumo

Resumo: Uma mulher de 45 anos com hipotireoidismo conhecido e sem outras comorbidades teve achado incidental de múltiplos aneurismas da artéria renal direita. O maior aneurisma media 5 x 4,5 cm e tinha origem no ramo segmentar inferior, juntamente com dois pequenos aneurismas originários do ramo segmentar superior da artéria renal direita. Realizamos o reparo ex vivo com enxerto reverso de veia safena, sob preservação a frio, seguido de autotransplante renal ortotópico. O pós-operatório ocorreu sem intercorrências, e a paciente teve o rim direito preservado no seguimento de 1 ano. Neste artigo, relatamos o tratamento bem-sucedido de múltiplos aneurismas complexos da artéria renal direita e descrevemos a técnica cirúrgica utilizada para o reparo bem-sucedido.
 

Palavras-chave

aneurisma complexo da artéria renal, reparo ex vivo, autotransplante ortotópico

References

1 King BJ, Steinthorsson G, Di Carlo A. Complex renal artery aneurysm managed with hand-assisted laparoscopic nephrectomy, ex vivo repair, and auto transplantation. Ann Vasc Surg. 2014;28(4):1036. PMid:24321268.

2 Coleman DM, Stanley JC. Renal artery aneurysms. J Vasc Surg. 2015;62(3):779-85. http://dx.doi.org/10.1016/j.jvs.2015.05.034 PMid:26213273.

3 Lather HD, Gornik HL, Olin JW, et al. Prevalence of intracranial aneurysm in women with fibromuscular dysplasia: A report from the US registry for fibromuscular dysplasia. JAMA Neurol. 2017;74(9):1081-7. http://dx.doi.org/10.1001/jamaneurol.2017.1333 PMid:28715558.

4 Klausner JQ, Lawrence PF, Harlander-Locke MP, et al. The contemporary management of renal artery aneurysms. J Vasc Surg. 2015;61(4):978-84. http://dx.doi.org/10.1016/j.jvs.2014.10.107 PMid:25537277.

5 Laser A, Flinn WR, Benjamin ME. Ex vivo repair of renal artery aneurysms. J Vasc Surg. 2015;62(3):606-9. http://dx.doi.org/10.1016/j.jvs.2015.03.070 PMid:26304479.

6 Duprey A, Chavent B, Meyer-Bisch V, et al. Ex vivo renal artery repair with kidney autotransplantation for renal artery branch aneurysms: Long-term Results of sixty-seven procedures. Eur J Vasc Endovasc Surg. 2016;51(6):872-9. http://dx.doi.org/10.1016/j.ejvs.2016.02.017 PMid:27036374.

7 Zhang Z, Yang M, Song L, Tong X, Zou Y. Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas. J Vasc Surg. 2013;57(3):765-70. http://dx.doi.org/10.1016/j.jvs.2012.09.042 PMid:23312837.

8 Genzini T, Noujaim HM, Mota LT, et al. Renal autotransplantation to treat renal artery aneurysm: case report. Sao Paulo Med J. 2014;132(5):307-10. http://dx.doi.org/10.1590/1516-3180.2014.1325678 PMid:25075584.
 


Submitted date:
01/14/2021

Accepted date:
03/25/2021

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
60d4c566a9539570603bf083 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections