Renal Artery Aneurysms

González, Javier; Esteban, M.; Andrés, Germán; Linares, Estefanía; Martínez-Salamanca, Juan Ignacio

doi:10.1007/s11934-013-0376-z

Cited by 61 publications

(88 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Historically, autopsy indicated an RAA incidence rate of about 0.03% to 0.09%, but the use of angiography and computed tomography (CT) angiogram (Figure 2) has led to increased detection, which raises the estimated incidence rate to 1% (1,2). Hypertension is the most common presenting symptom (up to 90%) (1, 2).…”

Section: Discussionmentioning

confidence: 99%

“…Rundback et al classifi ed RAA into three categories (Figure 3) (2). Saccular aneurysms arising from the main renal artery or the large segmental branch are amendable to an endovascular approach and are classifi ed as type 1.…”

Section: Discussionmentioning

confidence: 99%

“…In this case series, we present three patients for whom an open approach was indicated and performed. R enal artery aneurysms (RAAs) are a rare occurrence, with an incidence of about 1% (1,2). Most patients are asymptomatic and are diagnosed through incidental fi ndings on imaging.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Surgical Repair of Renal Artery Aneurysms

Titze

Ivanukoff

Fisher

et al. 2015

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Repair of Renal Artery Aneurysms

Titze

Ivanukoff

Fisher

et al. 2015

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

“…Reports have suggested that asymptomatic RAAs with a size of <1.5 cm and circumferential calcifications possess a low risk for rupture. 4) In contrast, non-calcified saccular aneurysms that are accompanied with hypertension have a high risk for rupture (>20%). Likewise, the risk for rupture is high in pregnant patients, especially during the third trimester, and is associated with a maternal mortality of approximately 50% and a fetal mortality of approximately 80%.…”

Section: Discussionmentioning

confidence: 99%

“…4) Nevertheless, a careful selection of patients is mandatory as complications such as the intraoperative rupture of the RAA may result in the loss of the kidney or even the death of the patient.…”

Section: Discussionmentioning

confidence: 99%

Operative Management of Hilar Renal Artery Aneurysm in a Pregnant Patient

Schulte

Rodríguez-Dávalos

Lujic

et al. 2015

Annals of Vascular Diseases

View full text Add to dashboard Cite

Complications of renal artery aneurysms (RAAs) can be life threatening and include the spontaneous rupture which may lead to severe retroperitoneal hemorrhage, loss of the kidney, or death. As the incidence and diagnosis of RAAs is expected to rise, it is becoming increasingly important to enhance our awareness and knowledge of this rare clinical entity. Here, we present the case of a hilar right RAA and the surgical approach for primary repair during the postpartum period. Additionally, we discuss current pathophysiologic mechanisms, associated symptoms as well as current treatment modalities for RAAs.Keywords: renal artery aneurysm (RAA), pregnancy, primary repair to have a higher incidence of RAAs, the cardiovascular changes associated with pregnancy increase the risk of rupture and subsequent fetal and/or maternal death. For this reason, the repair of RAAs with a maximum diameter of >2 cm is usually recommended in pregnant women and women of reproductive age. 1) Case ReportA 29-year-old woman, gravida 4 para 3, at 26 weeks and two days of gestation presented to the obstetric/gynecology clinic with worsening right flank pain. She had a history of a right RAA, which was diagnosed in her third pregnancy three years ago during the diagnostic workup for flank pain. At that time, Doppler ultrasound had shown a RAA in the right renal hilum with a diameter of 1.7 cm. Her family history was positive for a cousin with a ruptured RAA.Diagnostic studies were initiated at her current presentation. A MRI angiogram examination without intravenous contrast demonstrated a right RAA measuring 2.4 cm × 1.6 cm (Fig. 1). It was located at the bifurcation of the right main renal artery approximately 2.5 cm from the right lateral edge of the aorta. A segmental branch arising from the superior aspect of the aneurysm was noted. A Doppler ultrasound examination confirmed the above measurements and showed no evidence of active bleeding. Therefore, the patient's flank pain was controlled with minimal narcotics. In light of the increased risk of rupture of the aneurysm during pregnancy, especially during the imminent third trimester, the patient had close obstetric monitoring. The Maternal-Fetal Medicine team, together with our group, decided to plan the surgical repair of the right RAA for the postpartum period. At 37 weeks of gestation, the patient underwent a scheduled cesarean section without complications and delivered a healthy child.Fifty days postpartum the patient was admitted to the hospital for the elective surgical repair of a right RAA. A surgical repair was chosen over an endovascular approach due to the hilar location of the RAA, which would not

show abstract

Large Calcified Renal Artery Aneurysm Misdiagnosed as Intrapelvic Calculus

Shrivastava

2023

The Misdiagnosis Casebook in Clinical Medicine

View full text Add to dashboard Cite

Renal Artery Aneurysms

Cited by 61 publications

References 43 publications

Surgical Repair of Renal Artery Aneurysms

Surgical Repair of Renal Artery Aneurysms

Operative Management of Hilar Renal Artery Aneurysm in a Pregnant Patient

Large Calcified Renal Artery Aneurysm Misdiagnosed as Intrapelvic Calculus

Contact Info

Product

Resources

About