Journal of the Korean Society for Vascular Surgery  2002;18(1):156-160

Splenorenal Bypass for a Huge Left Renal Aneurysm.

Seok Ryeol LEE 1 ; Min Soo SON ; Jae Hee KANG ; Ho Chul PARK

Affiliations

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Keywords

Renal; Aneurysm; Splenorenal; Bypass

Country

Republic of Korea

Language

Korean

Abstract

Renal artery aneurysms are rare, in less than 1% of consecutive abdominal aortograms. Renal artery aneurysms are bilateral in about 10% of cases. Controversy persists regarding the indications for repair of renal artery aneurysms and optimal method of repair. The authors report a case of left renal artery aneurysm with right renal atrophy in a 37-year-old male patient. This patient has no past medical history including hypertension. On physical examination, a pulsatile mass was palpated in left upper abdomen. Preoperative abdominal CT showed right renal atrophy and 8 cm diameter left renal aneurysm. Abdominal aortogram and left renal angiogram showed huge lobulated outpouching contrast collection at the proximal left renal artery without definite neck and diffuse irregularity at the proximal left renal artery. This patient was treated by splenectomy, thrombectomy, aneurysm resection and end to end splenorenal bypass. No remarkable postoperative complication was observed. The patient was discharged postoperative 12 days.