一名肾动脉缺如患者的副肾动脉瘤：病例报告
An accessory renal aneurysm in a patient with absent renal artery: a case report.
作者信息
Wan Jianghong, Chen Chu Wen, Chen Guoxin, Huang Bin
机构信息
Department of Outpatient, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Division of Vascular Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
出版信息
Front Cardiovasc Med. 2024 Oct 7;11:1477604. doi: 10.3389/fcvm.2024.1477604. eCollection 2024.
INTRODUCTION
This study reports a patient who developed a secondary renal artery aneurysm (RAA) after occlusion of the main renal artery.
METHODS
A 25-year-old woman was hospitalized due to an enlarged renal artery aneurysm (RAA). Computed tomography angiography revealed a 2.2 mm left renal aneurysm and the absence of the left renal artery trunk, with collateral blood supply from the branch arteries of the aorta. The left kidney function remained normal, allowing successful aneurysm embolization. Three years after embolization, the patient's hypertension improved and became more manageable.
CONCLUSION
Compensation through other abdominal aorta branches after renal artery trunk occlusion is rare, and these branches may also lead to the development of aneurysms. Regular monitoring of these patients is essential.
引言
本研究报告了一名患者，其在主肾动脉闭塞后发生了继发性肾动脉动脉瘤（RAA）。
方法
一名25岁女性因肾动脉动脉瘤（RAA）增大而住院。计算机断层血管造影显示左肾动脉瘤为2.2毫米，且左肾动脉主干缺如，由主动脉分支提供侧支血供。左肾功能保持正常，成功进行了动脉瘤栓塞。栓塞三年后，患者的高血压得到改善且更易于控制。
结论
肾动脉主干闭塞后通过其他腹主动脉分支进行代偿的情况罕见，且这些分支也可能导致动脉瘤形成。对这些患者进行定期监测至关重要。
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