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Giant renal artery aneurysms: decision-making dilemmas
1Department of Surgery, General Hospital, Charlotte Street, Port-of-Spain, Trinidad and Tobago.
Case Reports in Vascular Medicine
|October 10, 2013
Summary
A case report details a 10 cm giant renal artery aneurysm found incidentally. Surgical removal (nephrectomy) led to an uneventful recovery, highlighting planned nephrectomy for large renal artery aneurysms.
Area of Science:
- Vascular Surgery
- Urology
- Radiology
Background:
- Giant renal artery aneurysms (GRAAs) are rare vascular abnormalities.
- Incidental findings on imaging, such as ultrasound, are common presentations.
- GRAAs can pose risks of rupture and complications.
Purpose of the Study:
- To report a case of a 10 cm GRAA.
- To review current treatment options for GRAAs.
- To emphasize the role of nephrectomy in managing GRAAs when contralateral renal function is adequate.
Main Methods:
- Case report of an 81-year-old female with an incidentally discovered GRAA.
- Detailed description of the aneurysm's characteristics and surgical approach.
- Review of literature on GRAA management strategies.
Main Results:
- A 10 cm GRAA was successfully treated with a right nephrectomy.
- The patient experienced an uneventful recovery post-surgery.
- The aneurysm exhibited specific characteristics: large, soft, egg-shell-like, bilobular, with a cauliflower pattern invading renal parenchyma.
Conclusions:
- Planned nephrectomy is a viable treatment for GRAAs in patients with sufficient contralateral renal reserve.
- Surgical approach should be tailored to aneurysm location (midline for right, flank for left).
- Early detection and appropriate management are crucial for favorable outcomes in GRAA cases.
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