Renal artery aneurysms: movement toward endovascular repair

Renal artery aneurysm (RAA) is an uncommon disease and is typically an incidental finding on imaging performed for other medical ailments. Sequelae of RAA include rupture and difficult to control hypertension. Repair of RAA is considered in suitable surgical candidates when a maximum diameter of 2 cm is reached or in those females who are pregnant or trying to conceive. Surgical options have expanded from traditional open aneurysmectomy or arteriorrhaphy to robotic-laparoscopic repair and a manifold of endovascular approaches.