Ex vivo repair of a large renal artery aneurysm and associated arteriovenous fistula.
The development of a renal artery to vein arteriovenous fistula due to a large extraparenchymal renal artery aneurysm is uncommon. Previous surgical experience with this entity is limited. Based on the existing surgical literature, nephrectomy has been the treatment of choice. We report preservation of the kidney by surgical correction of this entity using ex vivo "bench" repair in a middle-aged female with fibromuscular dysplasia of the renal artery. The technique, results, and recommendations for surgical management are discussed.
Torres
Gustavo
G
Department of Surgery, Division of Vascular Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033-4612, USA.
Terramani
Thomas T
TT
Weaver
Fred A
FA
D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods