Gutta Rao, Lopes James, Flinn William R, Neschis David G
Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, MD 21201, USA.
Angiology. 2008 Apr-May;59(2):240-3. doi: 10.1177/0003319707304038.
Renal artery aneurysm is a rare condition that has an unclear etiology. Although some patients present with symptoms of hypertension, pain, hematuria, or rupture, the majority are asymptomatic. Traditional surgical repair of renal artery aneurysms is often complex and may require ex vivo repair and reimplantation of the kidney if branch vessels are involved. Very large aneurysms made require nephrectomy. More recently, reports have described endovascular approaches to renal artery aneurysms, including coil embolization and stent graft coverage. This report describes successful endovascular treatment of a 10-cm renal artery aneurysm with preservation of renal mass.
肾动脉动脉瘤是一种病因不明的罕见病症。虽然有些患者会出现高血压、疼痛、血尿或破裂等症状，但大多数患者并无症状。传统的肾动脉动脉瘤手术修复往往很复杂，如果涉及分支血管，可能需要进行体外修复并将肾脏重新植入。非常大的动脉瘤则需要进行肾切除术。最近，有报告描述了肾动脉动脉瘤的血管内治疗方法，包括弹簧圈栓塞和覆膜支架置入。本报告描述了成功地通过血管内治疗一个10厘米的肾动脉动脉瘤并保留了肾脏组织。
