title: Surgical treatment of an aneurysm of a distal branch of the renal artery.
abstract: Aneurysms of the renal artery and its branches are rare, but are associated with significant morbimortality due to the absence of clinical symptoms and hemorrhagic risk in the event of rupture. We report the case of a patient with an aneurysm of a distal branch of the right renal artery that measured 25 mm in diameter. The diagnosis and localization were obtained using selective arteriography. Treatment consisted of resection of the aneurysmal sac associated with closure with a saphenous vein patch rather than an endovascular treatment in order to preserve the nephronic capital. Right renal parenchymatous vascularization was satisfactory on arterial echo-Doppler and angioscanner assessment at 1 year.
authors.affiliation: Service de chirurgie viscérale et vasculaire, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France. Electronic address: solafah@hotmail.fr.
authors.forename: Solafah
authors.initials: S
authors.lastname: Abdalla
authors.affiliation: Service de chirurgie viscérale et vasculaire, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France.
authors.forename: Charles
authors.initials: C
authors.lastname: Pierret
authors.affiliation: Service de radiologie, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France.
authors.forename: Bakar
authors.initials: B
authors.lastname: Ba
authors.affiliation: Service de chirurgie viscérale et vasculaire, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France.
authors.forename: Amélie
authors.initials: A
authors.lastname: Mlynski
authors.affiliation: Service de chirurgie viscérale et vasculaire, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: de Kerangal
authors.affiliation: Service d'urologie, Hôpital d'Instruction des Armées du Val de Grâce, Paris, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Houlgatte
mesh_terms: D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler