Surgical Treatment of a Ruptured Giant Renal Artery Aneurysm - Case Report and Literature Review

• Authors: Krzysztof Paruzel , Łukasz Krakowczyk , Bolesław Oleś
• Languages of publication: EN

Abstracts

EN

Renal artery aneurysms are the second most common visceral artery aneurysms after splenic artery aneurysms, and before hepatic artery aneurysms. The study presented a case of a ruptured giant right renal artery aneurysm in a female patient. The presented case is worth mentioning, due to the giant size of the lesion. The diameter of the aneurysm exceeded 10 cm. Available literature data mentioned single reports of such large aneurysms located in the renal arteries. In spite of the fact that renal artery aneurysms are the second most common visceral artery aneurysms, their management is accompanied by some controversy. Literature data mentioned the dominance of endovascular techniques. However, surgical treatment remains to be the most effective and radical method.

Keywords

EN

renal artery aneurysm; diagnostics; surgical treatment

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 6
• Pages: 343-346

Dates

published

1 - 6 - 2011

online

25 - 7 - 2011

Contributors

author

Krzysztof Paruzel

• Department of General and Vascular Surgery, SP ZOZ Municipal Specialistic Hospital in Rybnik

author

Łukasz Krakowczyk

• Department of Oncological and Reconstructive Surgery, Center of Oncology, IMSC in Gliwice

author

Bolesław Oleś

• Department of General and Vascular Surgery, SP ZOZ Municipal Specialistic Hospital in Rybnik

References

• Knobloch K, Wiebe K, Lichtenberg A et al.: Ex vivo repair and renal autotransplantation for complex renal artery aneurysms in a solitary kidney. Ann Vasc Surg 2005 May; 19(3): 407-10.[Crossref]
• Porcaro AB, Migliorini F, Pianon R et al.: Intraparenchymal renal artery aneurysms. Case report with review and update of the literature. Int Urol Nephrol 2004; 36(3): 409-16.[Crossref][PubMed]
• Szmidt J: Choroby tętnic nerkowych; Podstawy chirurgii (red. J. Szmidt). MP, Kraków 2003; t. I: 987-91.
• Pulli R, Dorigo W, Troisi N et al.: Surgical treatment of visceral artery aneurysms: A 25-year experience. J Vasc Surg 2008 Aug; 48(2): 334-42.[Crossref]
• Cura M, Elmerhi F, Bugnogne A et al.: Renal aneurysms and pseudoaneurysms. Clin Imaging 2011 Jan-Feb; 35(1): 29-41.[PubMed][Crossref][WoS]
• Gyedu A, Karakoyun R, Baltaci S et al.: Surgical repair of a giant renal artery aneurysm: a case report. Eur J Vasc Endovasc Surg 2008 Jun; 36(1): 31-33.[Crossref]
• Reese AH, McAllister MS, Toevs CC: Rupture of a giant renal artery aneurysm. Am Surg 2009 Jun; 75(6): 525-27. No abstract available.
• Lumsden AB, Salam TA, Walton KG: Renal artery aneurysm: a report of 28 cases. Cardiovasc Surg 1996 Apr; 4(2): 185-89.[PubMed][Crossref]
• Momohara C: A case of giant renal artery aneurysm Hinyokika Kiyo 2006 Feb; 52(2): 125-29.[PubMed]
• Chiesa R et al.: Open repair of pararenal aortic aneurysms: operative management, early results, and risk factor analysis. Ann Vasc Surg 2006 Nov; 20(6): 739-46.[Crossref][PubMed]
• Gutta R, Lopes J, Flinn WR et al.: Endovascular embolization of a giant renal artery aneurysm with preservation of renal parenchyma. Angiology 2008 Apr-May; 59(2): 240-43.[PubMed][WoS][Crossref]
• Ziaja K, Kuczmik W: Tęniaki tętnic obwodowych. Chirurgia żył i tętnic obwodowych. (red. W. Noszczyk). PZWL, Warszawa 2003; t II: 733-34.
• Hageman JW et al.: Aneurysm of the renal artery : problems of prognosis and surgicalmamagment. Surgery 1978; 84: 563.[PubMed]
• Henke PK, Stanley JC: Renal artery aneurysms: diagnosis, management and Outcomes. Minerva Chir 2003 Jun; 58(3): 305-11.[PubMed]
• Hahn B, Fecci A, Jacobs C: Renal artery aneurysm. J Emerg Med 2010 Jun; 38(5): 654-55.[PubMed][Crossref]
• Thomas AA et al.: Renal artery aneurysm treated with ex vivo repair and autotransplantation. Surgeon 2006 Aug; 4(4): 245-47.[Crossref][PubMed]
• Hislop SJ, Patel SA, Abt PL et al.: Therapy of renal artery aneurysms in New York State: outcomes of patients undergoing open and endovascular repair. Ann Vasc Surg 2009 Mar; 23(2): 194-200.[Crossref]
• Fraser GE, Poncia H: Spontaneous renal artery aneurysm rupture: an unusual cause of abdominal pain and syncope. J Emerg Med 2009 Aug; 26(8): 619-20.[Crossref]
• Gupta AD, Semins MJ, Marx JK et al.: Renal artery pseudoaneurysm after partial nephrectomy. J Urol 2010 Jun; 183(6): 2390-91.[Crossref][PubMed]
• Meyer C, Verrel F, Weyer G et al.: Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent. Cardiovasc Intervent Radiol 2010 Nov.; 24.
• Xiong J, Guo W, Liu X et al.: Renal artery aneurysm treatment with stent plus coil embolization. Ann Vasc Surg 2010 Jul; 24(5): 695. 1-3.[PubMed]
• McGee J, Freitas A, Slakey DP: A complex renal artery aneurysm successfully treated with ex vivo polytetrafluoroethylene tube graft reconstruction. Am Surg 2009 Feb; 75(2): 186-87.[PubMed]
• Henry M, Polydorou A, Frid N et al.: Treatment of renal artery aneurysm with the multilayer stent. J Endovasc Ther 2008 Apr; 15(2): 231-36.[Crossref][WoS]
• Wason SE, Schwaab T: Spontaneous rupture of a renal artery aneurysm presenting as gross hematuria. Rev Urol 2010 Fall; 12(4): 193-96.

Identifiers

DOI

10.2478/v10035-011-0053-1