title: Endovascular repair of a ruptured type II renal artery aneurysm using an endograft.
abstract: BACKGROUND
  The purpose of this study was to describe a case of an endovascular exclusion of a ruptured type II renal artery aneurysm in a hemodynamically unstable patient using an endograft.
  
  
  RESULTS
  A 73-year-old woman, with an extensive medical history, presented with a sudden onset of abdominal pain and hypovolemic shock. A computed tomography scan showed a massive right-sided retroperitoneal hematoma and a type II aneurysm of the right renal artery just proximal to the bifurcation. Angiography demonstrated active contrast extravasation from the aneurysm. The aneurysm was excluded using a 5-cm long, 6-mm wide endograft. After a 6-month interval, duplex ultrasonography showed a patent endograft and normal perfusion of the renal parenchyma in the lower and middle pole, with a glomerular filtration rate of 75 mL/min.
  
  
  CONCLUSIONS
  Endovascular exclusion using an endograft may provide a safe and rapid alternative to surgery to treat ruptured renal artery aneurysms in a selected group of patients.
authors: Department of Radiology, Rijnstate Hospital, Arnhem, The Netherlands.
authors: Gijsbert C
authors: GC
authors: Bloemsma
authors: Jacques A
authors: JA
authors: van Oostayen
authors: Michel M P J
authors: MM
authors: Reijnen
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011474:Prosthesis Design; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012769:Shock / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex