title: [Aneurysm repair in vitro and renal revascularization and renal autogenous transplantation for complex renal artery aneurysm in solitary kidney].
abstract: OBJECTIVE
  To discuss the safety and feasibility of aneurysm repair in vitro and renal revascularization and renal autogenous transplantation for complex renal artery aneurysm in solitary kidney.
  
  
  METHODS
  A complex hilar renal artery aneurysm involving the bifurcation of renal artery and its branches in a solitary left kidney was diagnosed by computed tomography angiography (CTA). After temporary nephrectomy, aneurysm repair in vitro and renal revascularization were done with the kidney protected by hypothermia and continuous perfusion with preservation solution, and then the kidney was replanted into the right iliac fossa.
  
  
  RESULTS
  The operation was done successfully and there were no significant perioperative complications. Although a serum creatinine level temporarily exceeded above 200 micromol/L after the surgery, it recovered gradually within half a month. CTA two weeks later demonstrated patent reconstructed renal arteries and its branches and patent renal vein in the right iliac fossa, and also a patent reconstructed ureter.
  
  
  CONCLUSIONS
  This technique is safe and feasible to manage complex renal artery aneurysm in solitary kidney and provide an alternative for similar complex renal diseases.
authors: Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
authors: Jian
authors: J
authors: Zhang
authors: Rui
authors: R
authors: Feng
authors: Xiang
authors: X
authors: Feng
authors: Ying-hao
authors: YH
authors: Sun
authors: Lin-hui
authors: LH
authors: Wang
authors: Zhi-qing
authors: ZQ
authors: Zhao
authors: Ming-jin
authors: MJ
authors: Guo
authors: Bo
authors: B
authors: Yang
authors: Wen-xian
authors: WX
authors: Li
authors: Zai-ping
authors: ZP
authors: Jing
mesh_terms: D000783:Aneurysm / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000473:pathology / Q000601:surgery*; D014182:Transplantation, Autologous; D016896:Treatment Outcome