An accessory renal aneurysm in a patient with absent renal artery: a case report.

Front Cardiovasc Med

Division of Vascular Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Published: October 2024

AI Article Synopsis

  • A 25-year-old woman developed a secondary renal artery aneurysm after her main renal artery was occluded, leading to an enlarged aneurysm despite having normal kidney function.
  • Imaging showed a 2.2 mm left renal aneurysm with blood supply coming from collateral branches of the aorta, allowing for successful treatment through embolization.
  • Post-treatment, the patient's hypertension significantly improved over three years, highlighting the need for regular monitoring of individuals with similar vascular conditions.

Article Abstract

Introduction: This study reports a patient who developed a secondary renal artery aneurysm (RAA) after occlusion of the main renal artery.

Methods: A 25-year-old woman was hospitalized due to an enlarged renal artery aneurysm (RAA). Computed tomography angiography revealed a 2.2 mm left renal aneurysm and the absence of the left renal artery trunk, with collateral blood supply from the branch arteries of the aorta. The left kidney function remained normal, allowing successful aneurysm embolization. Three years after embolization, the patient's hypertension improved and became more manageable.

Conclusion: Compensation through other abdominal aorta branches after renal artery trunk occlusion is rare, and these branches may also lead to the development of aneurysms. Regular monitoring of these patients is essential.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494606PMC
http://dx.doi.org/10.3389/fcvm.2024.1477604DOI Listing

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