2026-06-10T17:27:04Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/2455-5495.000004 2015-09-23 PTZ.ARDM:VOL1

Open Repair of a Renal Artery Aneurysm with Hypogastric Artery Autograft and Hypothermic Perfusion Preservation Nelson De Luccia André Brito Queiroz Grace Carvajal Mulatti Fábio Rodrigues Ferreira do Espirito SantoKarina Paulo Domingos Rosa Schneidwind<p>A 32-year-old woman presented with a one-year history of mild abdominal&nbsp; pain&nbsp; in&nbsp; the&nbsp; left&nbsp; upper&nbsp; quadrant&nbsp; and&nbsp; a&nbsp; palpable&nbsp; pulsatile abdominal&nbsp; mass&nbsp; on&nbsp; physical&nbsp; examination.&nbsp; The&nbsp; results&nbsp; of&nbsp; laboratory investigations,&nbsp; including&nbsp; serum&nbsp; urea&nbsp; and&nbsp; creatinine&nbsp; levels,&nbsp; were unremarkable.&nbsp;&nbsp; Contrast&nbsp;&nbsp; enhanced&nbsp;&nbsp; computed&nbsp;&nbsp; tomography&nbsp;&nbsp; (CT) showed&nbsp; a&nbsp; large&nbsp; left&nbsp; renal&nbsp; artery&nbsp; aneurysm,&nbsp; measuring&nbsp; 5,0&nbsp; cm&nbsp; by&nbsp; 3,5 cm,&nbsp; but&nbsp; no&nbsp; evidence&nbsp; of&nbsp; renal&nbsp; perfusion&nbsp; alterations&nbsp; or&nbsp; other&nbsp; vascular abnormalities&nbsp; (Figure&nbsp; 1).&nbsp; She&nbsp; had&nbsp; been&nbsp; previously&nbsp; submitted&nbsp; to&nbsp; an unsuccessful&nbsp;&nbsp; endovascular&nbsp;&nbsp; approach&nbsp;&nbsp; with&nbsp;&nbsp; intention&nbsp;&nbsp; to&nbsp;&nbsp; treat&nbsp;&nbsp; the aneurysm&nbsp; and&nbsp; preserve&nbsp; left&nbsp; renal&nbsp; perfusion.&nbsp; Because&nbsp; she&nbsp; was&nbsp; young and&nbsp; in&nbsp; good&nbsp; health&nbsp; our&nbsp; purpose&nbsp; was&nbsp; to&nbsp; preserve&nbsp; left&nbsp; renal&nbsp; function and an open repair was adopted. The patient underwent a laparotomy with&nbsp; midline&nbsp; incision&nbsp; and&nbsp; the&nbsp; left&nbsp; kidney,&nbsp; left&nbsp; renal&nbsp; vein&nbsp; and&nbsp; artery were&nbsp;&nbsp; circumferentially&nbsp;&nbsp; mobilized&nbsp;&nbsp; from&nbsp;&nbsp; surrounding&nbsp;&nbsp; tissues.&nbsp;&nbsp; To permit&nbsp; a&nbsp; much&nbsp; better&nbsp; exposure,&nbsp; left&nbsp; renal&nbsp; vein&nbsp; and&nbsp; artery&nbsp; were clamped and transected while the ureter was left intact and the ex-situ reconstruction was performed on the body wall [1-3].</p> Archives of Renal Diseases and Management - Peertechz Publications 2015-09-23 Case Report https://doi.org/10.17352/2455-5495.000004 en Copyright © Nelson De Luccia et al.