Raymond S. Martin, MD, Patrick W. Meacham, MD, Jeff A

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Presentation transcript:

Renal artery aneurysm: Selective treatment for hypertension and prevention of rupture Raymond S. Martin, MD, Patrick W. Meacham, MD, Jeff A. Ditesheim, MD, Joseph L. Mulherin, MD, William H. Edwards, MD Journal of Vascular Surgery Volume 9, Issue 1, Pages 26-34 (January 1989) DOI: 10.1016/0741-5214(89)90216-4 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Age and sex distribution of 39 patients with renal artery aneurysm. Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Renal artery aneurysm in a 59-year-old man 1 year after discovery of right perinephric hematoma at laparotomy. Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Distribution of 43 renal artery aneurysms in patients undergoing arteriography. Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Patients with solitary saccular renal artery aneurysm at a proximal bifurcation (A) are treated with tangential excision (B) and primary repair or patch angioplasty (C). Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Larger renal artery aneurysms (A) or those associated with proximal renal artery stenosis require bypass after excision (B). Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Complicated hilar renal artery aneurysms (A) are excised, and multiple branch reconstruction is done with saphenous vein or hypogastric artery bypass (B). Journal of Vascular Surgery 1989 9, 26-34DOI: (10.1016/0741-5214(89)90216-4) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions