Complex renal artery aneurysm: successful exclusion with balloon-expandable covered stent

We report an incidentally noted aneurysm in the left renal artery in a 60-year-old woman. Repair was recommended due to the size of the aneurysm and the patient's history of hypertension. The aneurysm was located in a bifurcation lesion, and angulation at the site was approximately 90 degrees. We were able to successfully exclude the aneurysm, however, with a balloon-expandable covered stent. This suggests that balloon-expandable covered stents offer excellent delivery and precise deployment, even in cases where complex anatomical issues are involved.