Document Detail

Ex vivo repair and renal autotransplantation for complex renal artery aneurysms in a solitary kidney.
MedLine Citation:
PMID:  15834683     Owner:  NLM     Status:  MEDLINE    
Renal artery aneurysm (RAA) is a rare clinical entity with an incidence of 0.015-1%. Indications for interventional or surgical repair of RAAs are expanding aneurysms, diameter >2.5 cm, intractable renovascular hypertension, dissecting RAA, hematuria, and renal infarction after distal embolization. Interventional insertion of a stent graft as well as aortorenal bypass implantation are both low-risk procedures in simple aneurysms of the proximal renal artery. However, complex distal renal aneurysms involving several renal artery branches require not only an excellent result of vascular reconstruction, but also a surgical technique offering maximal protection for the kidney during the ischemic period. Here, we present a case of a solitary kidney with two consecutive RAAs of segmental renal artery branches (type 2 RAA). A surgical strategy including renal explantation, ex vivo renal preservation, ex vivo reconstruction of the renal artery, and renal heterotopic autotransplantation was successfully applied. The technique of ex vivo repair is a safe and effective surgical procedure in this clinical setting.
Karsten Knobloch; Karsten Wiebe; Artur Lichtenberg; Stefan Fischer; Bernhard Gohrbandt; Axel Haverich
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  19     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-25     Completed Date:  2005-08-15     Revised Date:  2005-11-28    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  407-10     Citation Subset:  IM    
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany.
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MeSH Terms
Aneurysm / radiography,  surgery*
Kidney / abnormalities*
Middle Aged
Renal Artery* / radiography,  surgery
Transplantation, Autologous

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