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Vascular and Endovascular Surgery
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Operative Repair of Enlarging Hilar Renal Artery Aneurysm

A Case Report and Review of the Literature

Augustine R. Eze

Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania

Sunnanda Singh

Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania

Paul G. Newman

Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania

Paul L. Cisek

Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania

Anthony J. Comerota

Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania

Repair of distal renal artery aneurysms poses a significant threat to kidney salvage despite improved operative techniques described over the past decades. The authors describe the case of a seventy-one-year-old woman who presented with an enlarging right renal artery aneurysm located at the renal hilum involving the lobar arteries. Operative repair was accomplished by excision of the saccular posterior wall and reconstruction with a saphenous vein patch. The ischemia time was thirty-three minutes and her postoperative course was uneventful. She was discharged home on the fifth postoperative day with normal renal function, and the renal arteriogram demonstrated a technically successful operation. They review the current literature, and this case is put into perspective with the natural history, clinical course, and present treatment of renal artery aneurysms.

Vascular and Endovascular Surgery, Vol. 31, No. 4, 469-476 (1997)
DOI: 10.1177/153857449703100410
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