Ex vivo repair and renal auto-transplantation for treatment of a renal artery aneurysm after endovascular failure. Issue 12 (15th December 2019)

• Record Type: Journal Article
• Authors: Veiga, Carlos; Machado, Rui; Nunes-Carneiro, Diogo; Almeida, Rui
• Is Part Of: BMJ case reports. Volume 12:Issue 12(2019)
• Publication Date: 2019-12-15
• Subjects: renal transplantation -- transplantation -- urological surgery -- vascular surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-231380
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Renal artery aneurysms are rare and typically found incidentally. Risk of rupture drives the incentive for repair, which can be achieved by both open and endovascular techniques. Ex vivo repair with renal auto-transplantation is recommended for complex aneurysms involving distal or multiple arteries. Here we describe a successful treatment of a renal artery aneurysm after previous endovascular treatment failure. A multi-layered stent was left misplaced inside of the aneurysm. Ex vivo repair with renal auto-transplantation allowed for complete aneurysm exclusion. With increasing use of endovascular techniques, failure of endovascular treatment might become a common indication for ex vivo repair in renal artery aneurysms.