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Renal artery aneurysms

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Presentation on theme: "Renal artery aneurysms"— Presentation transcript:

1 Renal artery aneurysms
Dawn M. Coleman, MD, James C. Stanley, MD  Journal of Vascular Surgery  Volume 62, Issue 3, Pages (September 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Following the longitudinal excision of a large saccular aneurysm located at the primary branch point (A), primary angioplastic closure of the defect in a transverse (Heineke-Mikulicz) fashion (B) or patch angioplasty (C and D) may be considered. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Aneurysms may have several outflow vessels of variable caliber. A, These vessels may be spatulated together to provide a common outflow target for a bypass graft; or B, branch vessels may require separate reimplantations onto the graft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Large aneurysms of the main renal artery may be treated by way of excision with primary repair (A) or excluded by endovascular means using a covered stent graft (B). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A, Distal aorto-renal bypass may be appropriate for segmental renal artery aneurysms (RAAs). B, Select aneurysms of this type may be appropriately treated by endovascular embolization. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

6 Fig 5 A, Computed tomography angiogram documenting multiple bilateral renal artery aneurysms (RAAs) in a young woman with fibromuscular dysplasia and hypertension (HTN); B, Completion arteriography following excision of two large first-order segmental right RAAs with angioplastic closure and closed aneurysmorrhaphy of two second-order segmental arterial aneurysms. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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