1982 Volume 73 Issue 2 Pages 177-188
Herein are reported on 12 cases of renal artery aneurysm experienced at the Yokohama City University Hospital together with clinical analysis on 153 cases of renal artery aneurysm compiled from Japanese medical literatures.
Surgical methods we have employed were nephrectomy in 3 cases, ex vivo aneurysmectomy and autotransplantation in 3 cases and in situ aneurysmectomy in 1 case.
Three cases of ruptured aneurysm and 1 case of impending rupture were salvaged.
Surgery on renal artery aneurysm is indicated when the aneurysm is more than 10mm in diameter and is not calcified or incompletely calcified and when hypertension, functional disturbance or pain is attributable to that lesion.
Aneurysmectomy in ex vivo setting is recommended as the method of choice if in situ surgery can not warrant success because of technical problem and/or ischemic damage.
