Ex-vivo Surgical Repair of a Renal Artery Aneurysm with Kidney Autotransplantation

Gonçalo Sobrinho; Augusto Ministro; Artur Silva; Luís Pedro

doi:10.20344/amp.11127

Ex-vivo Surgical Repair of a Renal Artery Aneurysm with Kidney Autotransplantation

Authors

Gonçalo Sobrinho Serviço de Cirurgia Vascular. Hospital Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Departamento de Cirurgia Vascular. Faculdade de Medicina. Universidade de Lisboa. Centro Académico de Medicina de Lisboa. Lisboa.
Augusto Ministro Serviço de Cirurgia Vascular. Hospital Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Departamento de Cirurgia Vascular. Faculdade de Medicina. Universidade de Lisboa. Centro Académico de Medicina de Lisboa. Lisboa.
Artur Silva Serviço de Anatomia Patológica. Hospital Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Serviço de Anatomia Patológica. Faculdade de Medicina. Universidade de Lisboa. Centro Académico de Medicina de Lisboa. Lisboa.
Luís Pedro Serviço de Cirurgia Vascular. Hospital Santa Maria. Centro Hospitalar Universitário Lisboa Norte. Lisboa. Departamento de Cirurgia Vascular. Faculdade de Medicina. Universidade de Lisboa. Centro Académico de Medicina de Lisboa. Lisboa.

DOI:

https://doi.org/10.20344/amp.11127

Keywords:

Aneurysm/surgery, Kidney Transplantation, Renal Artery/surgery, Transplantation, Autologous

Abstract

Renal artery aneurysms are rare. They are most commonly degenerative, congenital or due to medial fibroplasia. Proximal aneurysms can be repaired by endovascular and in-situ surgical techniques. However, aneurysms of the distal renal artery and its branches require ex-vivo surgical repair, also known as auto-transplantation: the kidney is removed, dissected and reconstructed in cold ischemia, and put back in place. A 69-year-old woman, with hypertension, presented with bilateral renal artery aneurysms with a diameter of 3.4 cm on the right kidney and 1 cm on the left kidney. The right renal artery aneurysm, which was due to medial fibroplasia, was successfully repaired using the ex-vivo surgical technique. Patency was confirmed by postoperative computed tomography angiography.

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Published

2020-10-01

How to Cite

Sobrinho G, Ministro A, Silva A, Pedro L. Ex-vivo Surgical Repair of a Renal Artery Aneurysm with Kidney Autotransplantation. Acta Med Port [Internet]. 2020 Oct. 1 [cited 2024 Dec. 22];33(10):688-91. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/11127

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Issue

Vol. 33 No. 10 (2020): October

Section

Case Report

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