Variations of origin of the renal artery: a review covering 403 aortographies
Related Experiment Video
Updated: Aug 17, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Insights
Renal artery origin from the first two lumbar vertebrae was studied using aortography. This anatomical knowledge is crucial for kidney surgery and transplantation.
Area of Science:
- Anatomical studies
- Vascular anatomy
- Surgical anatomy
Background:
- Accurate anatomical knowledge of renal artery origin is vital for urological and transplant surgery.
- Variations in renal vasculature can complicate surgical procedures.
Purpose of the Study:
- To determine the precise anatomical level of renal artery origin relative to lumbar vertebrae.
- To compare arteriographic findings with classical anatomical descriptions.
- To highlight the clinical significance of renal artery anatomy in surgery and transplantation.
Main Methods:
- Analysis of 403 aortographies to identify renal artery origin.
- Comparison of arteriographic data with historical dissection findings.
- Consideration of anatomical variations, including multiple renal arteries and fused renal masses.
Main Results:
- In cases with single kidneys and single renal arteries, these typically originate from the first two lumbar vertebrae.
- The right renal artery often arises at the same level or superior to the left renal artery.
- Variations such as horseshoe kidneys and multiple renal arteries were documented.
Conclusions:
- The study provides precise anatomical data on renal artery origin, essential for surgical planning.
- Understanding renal artery variations is critical for successful renal surgery and transplantation.
- Arteriography is a valuable tool for assessing renal vascular anatomy.
Abstract:
With 403 aortographies made for various reasons, the authors study the level of origin of renal arteries in respect to the lumbar vertebrae. They compare the information supplied by arteriography with the findings of classical authors after dissection. When there are two kidneys, and one artery per kidney, these arteries originate at the level of the first two lumbar vertebrae, the right artery at the same level or above the left artery. Special cases are also considered, as for instance kidneys vascularized by several arteries, single kidneys and fused renal masses, amongst which the horseshoe kidney is the commonest. The interest of this study, in relation to both the removal or reparative renal surgery, and to renal transplantation is here emphasized.
Related Concept Videos
The Aorta
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The Arch of Aorta
Encircling the heart, the coronary arteries form a ring-like structure before...
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Arteries of Lower Limbs
Blood and Nerve Supply to the Kidney
Bloody Supply to the Kidneys:
The kidneys receive their blood supply from the renal arteries, which branch off from the abdominal aorta—the main artery supplying the abdomen and lower body. The renal arteries enter the kidneys at the hilum, a notch on the medial side of each...
Imaging Studies VII: Vascular Imaging

