• Acta Medica Port · Oct 2020

    Case Reports

    Ex-vivo Surgical Repair of a Renal Artery Aneurysm with Kidney Autotransplantation.

    • Gonçalo Sobrinho, Augusto Ministro, Artur Silva, and Luís Pedro.
    • Serviço de Cirurgia Vascular. Hospital Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Departamento de Cirurgia Vascular. Faculdade de Medicina. Universidade de Lisboa. Centro Académico de Medicina de Lisboa. Lisboa. Portugal.
    • Acta Medica Port. 2020 Oct 1; 33 (10): 688-691.

    AbstractRenal artery aneurysms are rare. They are most commonly degenerative, congenital or due to medial fibroplasia. Proximal aneurysms can be repaired by endovascular and in-situ surgical techniques. However, aneurysms of the distal renal artery and its branches require ex-vivo surgical repair, also known as auto-transplantation: the kidney is removed, dissected and reconstructed in cold ischemia, and put back in place. A 69-year-old woman, with hypertension, presented with bilateral renal artery aneurysms with a diameter of 3.4 cm on the right kidney and 1 cm on the left kidney. The right renal artery aneurysm, which was due to medial fibroplasia, was successfully repaired using the ex-vivo surgical technique. Patency was confirmed by postoperative computed tomography angiography.

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