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Case Reports
. 2023 May 23;9(3):101220.
doi: 10.1016/j.jvscit.2023.101220. eCollection 2023 Sep.

Laparoscopic nephrectomy, ex vivo renal artery aneurysm repair, and autotransplantation for symptomatic aneurysm with thromboembolism

Lorela Weise  1 , Xuanji Wang  1 , Luis Fernandez  1 , Bernadette Aulivola  1
Affiliations
Case Reports

Laparoscopic nephrectomy, ex vivo renal artery aneurysm repair, and autotransplantation for symptomatic aneurysm with thromboembolism

Lorela Weise et al. J Vasc Surg Cases Innov Tech. .

Abstract

Renal artery aneurysms involving segmental branches pose a technical challenge to repair. Both endovascular and open repair techniques have been described. This case illustrates the clinical presentation of a patient with a symptomatic renal artery aneurysm with thromboembolic renal infarction managed with laparoscopic nephrectomy, ex vivo aneurysm resection, renal artery reconstruction, and autotransplantation.

Keywords: Autotransplantation; Ex vivo repair; Renal artery aneurysm.

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Figures

Fig 1
Fig 1
Computed tomography angiogram showing distal left renal artery aneurysm (RAA) involving superior and inferior segmental arteries and renal infarct involving mid- and lower pole of kidney.
Fig 2
Fig 2
A, Saccular renal artery aneurysm (RAA) involving segmental branches. B, Intraluminal thrombus within excised RAA.
Fig 3
Fig 3
Reconstructed left renal artery with inferior segmental artery anastomosed end-to-side to superior segmental artery.
Fig 4
Fig 4
Autotransplanted left kidney anastomosed to right external iliac vessels.
Fig 5
Fig 5
Postoperative computed tomography angiogram demonstrating autotransplanted kidney with patent renal artery and stable mid- and inferior pole infarct.
See this image and copyright information in PMC

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