Document Detail


Surgery for renal artery aneurysms: a combined series of two large centers.
MedLine Citation:
PMID:  9471037     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the clinical features and results of surgical treatment of renal artery aneurysms from two large centers. PATIENTS AND METHODS: A retrospective analysis of 21 hypertensive patients with renal artery aneurysms operated in two centers during a 24-year period was performed. RESULTS: The presenting symptom was subcostal or flank pain in 8 (38%) and hematuria in 5 (24%) cases. A ring-like calcification was seen on plain X-ray in 6 (29%) cases. All patients were evaluated with renal angiography showing a saccular aneurysm in 13 cases (62%), fusiform in 5 (24%) and dissecting in 3 (14%) cases. All saccular aneurysms were treated with resection followed by reconstruction with vein patch in 10 cases, and with and end-to-end anastomosis in 3 cases. All fusiform and dissecting aneurysms were managed with resection and reconstruction using aortorenal bypass. There was no hospital mortality or significant morbidity. During a follow-up ranging from 6 months to 23 years, there was definite cure of hypertension in 14 (67%) patients and improvement of blood pressure levels in 4 (19%) patients. Three patients continued to be hypertensive. CONCLUSION: Surgery for renal artery aneurysms can be accomplished with good results and should be considered for patients with aneurysms greater than 2 cm, for aneurysms causing renovascular hypertension, significant stenosis, flank pain, or hematuria, for dissecting, expanding and thrombotic aneurysms, and in women with a potential for pregnancy. However, all aneurysms cannot and should not be treated surgically.
Authors:
E Bastounis; E Pikoulis; S Georgopoulos; D Alexiou; A Leppäniemi; D Boulafendis
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European urology     Volume:  33     ISSN:  0302-2838     ISO Abbreviation:  Eur. Urol.     Publication Date:  1998  
Date Detail:
Created Date:  1998-04-07     Completed Date:  1998-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7512719     Medline TA:  Eur Urol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  22-7     Citation Subset:  IM    
Affiliation:
1st Department of Surgery, University of Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / radiography
Adult
Aged
Aneurysm / radiography,  surgery*
Aorta, Abdominal / surgery
Aortography
Female
Greece
Hematuria / radiography
Humans
Hypertension, Renovascular / radiography,  surgery*
Male
Middle Aged
Pregnancy
Renal Artery / radiography,  surgery*
Retrospective Studies
Saphenous Vein / surgery
Texas
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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