Open surgical approach of a rare giant renal artery aneurysm

Renal artery aneurysm (RAA) is a rare entity that challenges vascular surgeons. We report the case of a 75-year-old male patient with a rare, giant 8 cm RAA and the open surgical approach after a failed endovascular attempt. Resection of the RAA and an aortorenal bypass with a polytetrafluoroethylen...

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Main Authors: Thomas Kotsis, MD, PhD, Aikaterini Kotzadimitriou, MD, Panagitsa Christoforou, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000723
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author Thomas Kotsis, MD, PhD
Aikaterini Kotzadimitriou, MD
Panagitsa Christoforou, MD, PhD
author_facet Thomas Kotsis, MD, PhD
Aikaterini Kotzadimitriou, MD
Panagitsa Christoforou, MD, PhD
author_sort Thomas Kotsis, MD, PhD
collection DOAJ
description Renal artery aneurysm (RAA) is a rare entity that challenges vascular surgeons. We report the case of a 75-year-old male patient with a rare, giant 8 cm RAA and the open surgical approach after a failed endovascular attempt. Resection of the RAA and an aortorenal bypass with a polytetrafluoroethylene graft were performed by exteriorizing the left kidney to expose the renal hilum. We discuss the pros and cons of the attempt to help decision-making in similar RAA complex cases and the role of a multidisciplinary team to achieve the best result.
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spelling doaj-art-d0c8c9b26f1d4a4a8de63e7bb9bfc2c82025-08-20T02:48:09ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410179010.1016/j.jvscit.2025.101790Open surgical approach of a rare giant renal artery aneurysmThomas Kotsis, MD, PhD0Aikaterini Kotzadimitriou, MD1Panagitsa Christoforou, MD, PhD2Correspondence: Thomas Kotsis, MD, PhD, Vascular Departement, 2nd Clinic of Surgery, Aretaieion University Hospital, Athens Medical School, National and Kapodistrian University of Athens, 76 Vasilissis Sofias Ave, Athens 11528, Greece; Vascular Department, 2nd Clinic of Surgery, Aretaieion University Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens, GreeceVascular Department, 2nd Clinic of Surgery, Aretaieion University Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens, GreeceVascular Department, 2nd Clinic of Surgery, Aretaieion University Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens, GreeceRenal artery aneurysm (RAA) is a rare entity that challenges vascular surgeons. We report the case of a 75-year-old male patient with a rare, giant 8 cm RAA and the open surgical approach after a failed endovascular attempt. Resection of the RAA and an aortorenal bypass with a polytetrafluoroethylene graft were performed by exteriorizing the left kidney to expose the renal hilum. We discuss the pros and cons of the attempt to help decision-making in similar RAA complex cases and the role of a multidisciplinary team to achieve the best result.http://www.sciencedirect.com/science/article/pii/S2468428725000723AneurysmGiantRenal arteryKidneyBypass
spellingShingle Thomas Kotsis, MD, PhD
Aikaterini Kotzadimitriou, MD
Panagitsa Christoforou, MD, PhD
Open surgical approach of a rare giant renal artery aneurysm
Journal of Vascular Surgery Cases and Innovative Techniques
Aneurysm
Giant
Renal artery
Kidney
Bypass
title Open surgical approach of a rare giant renal artery aneurysm
title_full Open surgical approach of a rare giant renal artery aneurysm
title_fullStr Open surgical approach of a rare giant renal artery aneurysm
title_full_unstemmed Open surgical approach of a rare giant renal artery aneurysm
title_short Open surgical approach of a rare giant renal artery aneurysm
title_sort open surgical approach of a rare giant renal artery aneurysm
topic Aneurysm
Giant
Renal artery
Kidney
Bypass
url http://www.sciencedirect.com/science/article/pii/S2468428725000723
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