Abstract
Eighty-three patients out of 8,525 undergoing renal angiography during the years 1970-1979 were found to have renal artery aneurysm, which in six patients were bilateral and in 11 multiple. This corresponds to an incidence of almost 1% in this group of patients. Sixty-nine patients were treated conservatively and followed for a mean of 4.3 years. At that time nine patients had died. The cause of death was in no case related to the aneurysm. None of the 60 living patients had symptoms which could be related to the aneurysm. Reports of 36,656 autopsies, including most of the sudden deaths occurring in southern Sweden during a ten-year period, were analyzed. Nineteen cases of ruptured arterial aneurysms in the branches of abdominal aorta were found, but in no case were the renal arteries involved. It is concluded that the risk for rupture of a renal artery aneurysm is extremely small. The indications to operate renal artery aneurysms are discussed.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ABESHOUSE B. S. Aneurysm of the renal artery; report of two cases and review of the literature. Urol Cutaneous Rev. 1951 Aug;55(8):451–463. [PubMed] [Google Scholar]
- Cerny J. C., Chang C. Y., Fry W. J. Renal artery aneurysms. Arch Surg. 1968 Apr;96(4):653–663. doi: 10.1001/archsurg.1968.01330220169026. [DOI] [PubMed] [Google Scholar]
- Cummings K. B., Lecky J. W., Kaufman J. J. Renal artery aneurysms and hypertension. J Urol. 1973 Feb;109(2):144–148. doi: 10.1016/s0022-5347(17)60374-4. [DOI] [PubMed] [Google Scholar]
- De Bakey M. E., Lefrak E. A., Garcia-Rinaldi R., Noon G. P. Aneurysm of the renal artery. A vascular reconstructive approach. Arch Surg. 1973 Apr;106(4):438–443. doi: 10.1001/archsurg.1973.01350160056009. [DOI] [PubMed] [Google Scholar]
- Hageman J. H., Smith R. F., Szilagyi E., Elliott J. P. Aneurysms of the renal artery: problems of prognosis and surgical management. Surgery. 1978 Oct;84(4):563–572. [PubMed] [Google Scholar]
- Hubert J. P., Jr, Pairolero P. C., Kazmier F. J. Solitary renal artery aneurysm. Surgery. 1980 Oct;88(4):557–565. [PubMed] [Google Scholar]
- IPPOLITO J. J., LEVEEN H. H. Treatment of renal artery aneurysms. J Urol. 1960 Jan;83:10–16. doi: 10.1016/S0022-5347(17)65646-5. [DOI] [PubMed] [Google Scholar]
- McCarron J. P., Jr, Marshall V. F., Whitsell J. C., 2nd Indications for surgery on renal artery aneurysms. J Urol. 1975 Aug;114(2):177–180. doi: 10.1016/s0022-5347(17)66980-5. [DOI] [PubMed] [Google Scholar]
- Nordhus O., Ekeström S., Liljeqvist L. Surgical treatment of renal artery aneurysms. Scand J Thorac Cardiovasc Surg. 1977;11(3):243–249. [PubMed] [Google Scholar]
- Patterson W. M. Maternal death due to undiagnosed left renal artery aneurysm associated with an absent right kidney. Proc R Soc Med. 1973 Aug;66(8):761–762. [PMC free article] [PubMed] [Google Scholar]
- Poutasse E. F. Renal artery aneurysms. J Urol. 1975 Apr;113(4):443–449. doi: 10.1016/s0022-5347(17)59498-7. [DOI] [PubMed] [Google Scholar]
- SCHWARTZ C. J., WHITE T. A. ANEURYSM OF THE RENAL ARTERY. J Pathol Bacteriol. 1965 Jan;89:349–356. doi: 10.1002/path.1700890137. [DOI] [PubMed] [Google Scholar]
- Saleh Y. Z., McLeod F. N. Ruptured renal artery aneurysm in pregnancy. Case report. Br J Obstet Gynaecol. 1977 May;84(5):391–393. doi: 10.1111/j.1471-0528.1977.tb12606.x. [DOI] [PubMed] [Google Scholar]