title: Bilateral ex vivo repair and kidney autotransplantation for complex renal artery aneurysms: a case report and literature review.
abstract: We report the surgical management of a bilateral renal artery aneurysm diagnosed in a 41-year-old patient with a history of recurrent abdominal pain. The preoperative contrast-enhanced computed tomography showed a complex saccular aneurysm on both renal arteries within the renal hilum. The characteristics of aneurysms precluded endovascular procedures, and a double-step bilateral ex vivo reconstruction with kidney autotransplantation was planned. The intra- and postoperative period was uneventful. Imaging and laboratory examinations show preservation of renal function, and patient is symptom-free at 10-month follow up.
authors.affiliation: Department of General Surgery and Organ Transplantation, Umberto I Policlinic of Rome, Sapienza University of Rome, Rome, Italy.
authors.forename: Pasquale Bartolomeo
authors.initials: PB
authors.lastname: Berloco
authors.forename: Giovanni Battista
authors.initials: GB
authors.lastname: Levi Sandri
authors.forename: Nicola
authors.initials: N
authors.lastname: Guglielmo
authors.forename: Quirino
authors.initials: Q
authors.lastname: Lai
authors.forename: Fabio
authors.initials: F
authors.lastname: Melandro
authors.forename: Luca
authors.initials: L
authors.lastname: Poli
authors.forename: Gianluca
authors.initials: G
authors.lastname: Mennini
authors.forename: Giovanni Battista
authors.initials: GB
authors.lastname: Di Pierro
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Gentile
authors.forename: Massimo
authors.initials: M
authors.lastname: Rossi
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000601:surgery*; D005260:Female; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D009392:Nephrectomy / Q000379:methods; D012077:Renal Artery / Q000601:surgery*; D014182:Transplantation, Autologous / Q000379:methods
keywords: autotransplantation; ex vivo repair; kidney transplantation; renal artery aneurysms