Yufa Ann, Mikael Amarseen, Lara Gustavo, Nurick Harvey, Andacheh Iden
University of California, Riverside School of Medicine, Riverside, Calif.
Riverside Community Hospital, Riverside, Calif.
J Vasc Surg Cases Innov Tech. 2020 Jun 26;6(3):425-429. doi: 10.1016/j.jvscit.2020.06.003. eCollection 2020 Sep.
Accessory renal arteries (ARAs) are embryonic remnants found in more than one-third of patients and occurring bilaterally in 10% of the population. Very few reports have documented such vessels arising near or at the level of the aortic bifurcation. Furthermore, the presence of ARAs has yet to be described in the context of atherosclerotic disease. Here, we present a unique case of large bilateral ARAs originating above the aortic bifurcation concurrent with symptomatic aortoiliac atherosclerotic disease. We highlight the embryologic and clinical significance of these vessels as well as discuss their potential role in accelerating atherosclerotic disease processes.
副肾动脉（ARAs）是一种胚胎残余物，在超过三分之一的患者中可发现，在10%的人群中双侧出现。很少有报告记录到这些血管出现在主动脉分叉附近或该水平处。此外，尚未有关于在动脉粥样硬化疾病背景下存在副肾动脉的描述。在此，我们呈现了一个独特病例，双侧大的副肾动脉起源于主动脉分叉上方，同时伴有有症状的主髂动脉粥样硬化疾病。我们强调了这些血管的胚胎学和临床意义，并讨论了它们在加速动脉粥样硬化疾病进程中的潜在作用。
