Diagnosis and surgical treatment of renal artery aneurysms

Aim. Improvement of diagnosis and surgical treatment of renal artery aneurysms. Material and Methods. The features of the clinical course, diagnosis and surgical treatment of renal artery aneurysm were analyzed in a 55-year-old patient. Results and Discussion. In our observation, in a 55-year...

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Autores principales:	I.I. Kobza, T.I. Kobza, Yu.S. Mota
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2019
Materias:	renal artery, aneurysm, diagnosis, surgical treatment Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/84916c30b65f43f1aaaf9c72946ee5be
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spelling	oai:doaj.org-article:84916c30b65f43f1aaaf9c72946ee5be2021-11-10T19:49:51ZDiagnosis and surgical treatment of renal artery aneurysms1029-42442415-330310.25040/aml2019.04.066https://doaj.org/article/84916c30b65f43f1aaaf9c72946ee5be2019-12-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/54https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. Improvement of diagnosis and surgical treatment of renal artery aneurysms. Material and Methods. The features of the clinical course, diagnosis and surgical treatment of renal artery aneurysm were analyzed in a 55-year-old patient. Results and Discussion. In our observation, in a 55-year-old patient, by clinical examination, laboratory and diagnostic imaging the following diagnosis was confirmed: Atherosclerosis. Aneurysm of the right renal artery. Moderate ectasia of the left renal artery trunk. Condition after stent-graft implantation into the right renal artery (25.06.2018), embolization of a pseudoaneurysm of the right renal artery (22.11.2018). Arterial hypertension, Stage II, risk 4. Presence of a drug-resistant hypertension, a saccular renal artery aneurysm with 2.0 cm in diameter, and unsuccessful attempts to use endovascular methods of treatment have become direct indications for surgical intervention, not only saving patient's life, but also preventing the development of fatal complications. Surgical treatment of the renal artery aneurysms consists of: endovascular interventions (aneurysm embolization, stenting), in situ reconstruction (in-situ prosthesis, tangential resection and angioplasty, nephrectomy), extracorporeal reconstruction - ex vivo. Nephrectomy is recommended in cases of multiple large intrarenal aneurysms, concomitant renal pathology (atrophy, tumor), rupture of aneurysms in patients in a shock condition, and previously unsuccessful reconstructive interventions. Conclusions. Renal artery aneurysm is a rare clinical condition that may be complicated by rupture and fatal bleeding. This clinical case demonstrates that adequate surgical treatment - resection of sac-like aneurysm in vivo allowed not only to prevent the occurrence of life-threatening complications, but also to achieve complete recovery of the patient.I.I. KobzaT.I. KobzaYu.S. MotaDanylo Halytsky Lviv National Medical Universityarticlerenal artery, aneurysm, diagnosis, surgical treatmentMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 25, Iss 4, Pp 66-70 (2019)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	renal artery, aneurysm, diagnosis, surgical treatment Medicine (General) R5-920
spellingShingle	renal artery, aneurysm, diagnosis, surgical treatment Medicine (General) R5-920 I.I. Kobza T.I. Kobza Yu.S. Mota Diagnosis and surgical treatment of renal artery aneurysms
description	Aim. Improvement of diagnosis and surgical treatment of renal artery aneurysms. Material and Methods. The features of the clinical course, diagnosis and surgical treatment of renal artery aneurysm were analyzed in a 55-year-old patient. Results and Discussion. In our observation, in a 55-year-old patient, by clinical examination, laboratory and diagnostic imaging the following diagnosis was confirmed: Atherosclerosis. Aneurysm of the right renal artery. Moderate ectasia of the left renal artery trunk. Condition after stent-graft implantation into the right renal artery (25.06.2018), embolization of a pseudoaneurysm of the right renal artery (22.11.2018). Arterial hypertension, Stage II, risk 4. Presence of a drug-resistant hypertension, a saccular renal artery aneurysm with 2.0 cm in diameter, and unsuccessful attempts to use endovascular methods of treatment have become direct indications for surgical intervention, not only saving patient's life, but also preventing the development of fatal complications. Surgical treatment of the renal artery aneurysms consists of: endovascular interventions (aneurysm embolization, stenting), in situ reconstruction (in-situ prosthesis, tangential resection and angioplasty, nephrectomy), extracorporeal reconstruction - ex vivo. Nephrectomy is recommended in cases of multiple large intrarenal aneurysms, concomitant renal pathology (atrophy, tumor), rupture of aneurysms in patients in a shock condition, and previously unsuccessful reconstructive interventions. Conclusions. Renal artery aneurysm is a rare clinical condition that may be complicated by rupture and fatal bleeding. This clinical case demonstrates that adequate surgical treatment - resection of sac-like aneurysm in vivo allowed not only to prevent the occurrence of life-threatening complications, but also to achieve complete recovery of the patient.
format	article
author	I.I. Kobza T.I. Kobza Yu.S. Mota
author_facet	I.I. Kobza T.I. Kobza Yu.S. Mota
author_sort	I.I. Kobza
title	Diagnosis and surgical treatment of renal artery aneurysms
title_short	Diagnosis and surgical treatment of renal artery aneurysms
title_full	Diagnosis and surgical treatment of renal artery aneurysms
title_fullStr	Diagnosis and surgical treatment of renal artery aneurysms
title_full_unstemmed	Diagnosis and surgical treatment of renal artery aneurysms
title_sort	diagnosis and surgical treatment of renal artery aneurysms
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2019
url	https://doaj.org/article/84916c30b65f43f1aaaf9c72946ee5be
work_keys_str_mv	AT iikobza diagnosisandsurgicaltreatmentofrenalarteryaneurysms AT tikobza diagnosisandsurgicaltreatmentofrenalarteryaneurysms AT yusmota diagnosisandsurgicaltreatmentofrenalarteryaneurysms
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Diagnosis and surgical treatment of renal artery aneurysms

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