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Multilevel Microdissection and Functional-Structural Profiling of Human Renal Arterial Branches

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Multiple renal arteries: variations demonstrated by multidetector computed tomography angiography.

Mustafa Koplay¹, Omer Onbas, Fatih Alper

¹Department of Radiology, Faculty of Medicine, Selçuk University, Konya, Turkey.

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre

|July 20, 2010

Summary

This case study details a rare finding of seven renal arteries in a potential living kidney donor, visualized using multidetector computed tomography (MDCT) angiography. Awareness of such anatomical variations is crucial for surgical planning in the renal region.

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Area of Science:

Anatomical variations
Vascular imaging
Computed tomography angiography

Background:

Renal transplantation requires precise anatomical knowledge of renal vasculature.
Anatomical variations in renal arteries can complicate surgical procedures.
Multidetector computed tomography (MDCT) angiography is a key imaging modality for vascular assessment.

Observation:

A 36-year-old male, evaluated as a potential living kidney donor, presented with an unusual number of renal arteries.
MDCT angiography revealed a total of seven renal arteries.
These included three right renal arteries and two left renal arteries originating from the abdominal aorta, plus accessory arteries from the inferior mesenteric and common iliac arteries.

Findings:

The patient exhibited a complex pattern of multiple renal arteries, exceeding typical anatomy.
Detailed MDCT angiography successfully delineated all seven renal arteries and their origins.
Accessory renal arteries were identified originating from non-aortic sources.

Implications:

This case underscores the necessity of thorough pre-operative imaging to identify rare renal artery variations.
Surgeons must be prepared for diverse vascular anatomy to ensure patient safety during renal procedures.
Accurate identification of all renal arteries is vital for successful renal transplantation and other surgeries.