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  • Title: Ex-vivo Surgical Repair of a Renal Artery Aneurysm with Kidney Autotransplantation.
    Author: Sobrinho G, Ministro A, Silva A, Pedro L.
    Journal: Acta Med Port; 2020 Oct 01; 33(10):688-691. PubMed ID: 31738703.
    Abstract:
    Renal artery aneurysms are rare. They are most commonly degenerative, congenital or due to medial fibroplasia. Proximal aneurysms can be repaired by endovascular and in-situ surgical techniques. However, aneurysms of the distal renal artery and its branches require ex-vivo surgical repair, also known as auto-transplantation: the kidney is removed, dissected and reconstructed in cold ischemia, and put back in place. A 69-year-old woman, with hypertension, presented with bilateral renal artery aneurysms with a diameter of 3.4 cm on the right kidney and 1 cm on the left kidney. The right renal artery aneurysm, which was due to medial fibroplasia, was successfully repaired using the ex-vivo surgical technique. Patency was confirmed by postoperative computed tomography angiography.
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