Renal Artery Aneurysm: Long-term Relief of Renovascular Hypertension by in Situ Operative Correction

Isaam D. Soussou, David S. Starr, Gerald M. Lawrie, George C. Morris

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Renal artery aneurysm is an uncommon cause of renovascular hypertension. Nephrectomy or, more recently, ex vivo arterial reconstruction have been recommended as the treatment of choice. In contrast, we advocate in situ repair of the aneurysm and any associated lesions. Twenty-five hypertensive patients with 30 renal artery aneurysms were treated by tangential aneurysmectomy with primary arteriorrhaphy, saphenous vein patch angioplasty, or bypass graft. Nephrectomy was performed in two patients, one for a ruptured aneurysm. There was no operative mortality. Follow-up was obtained on all patients six months to 19 years after operation. Hypertension was relieved immediately and in the long-term in the majority of survivors. We believe these results indicate that despite the presence of severe renovascular disease, the affected kidney can be preserved and hypertension successfully relieved by a direct surgical approach without recourse to either nephrectomy or ex vivo reconstruction.

Original languageEnglish (US)
Pages (from-to)1410-1415
Number of pages6
JournalArchives of Surgery
Volume114
Issue number12
DOIs
StatePublished - Dec 1979

ASJC Scopus subject areas

  • Surgery

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