Surgical Treatment of Renal Artery Aneurysm

Jin Ikarashi＊

Kazuo Yamanaka＊

Atsushi Iwakura＊

（Department of Cardiovascular Surgery, Tenri Hospital＊, Tenri, Japan）

Most renal artery aneurysms are asymptomatic and the indication of surgery for renal artery aneurysm is controversial. We encountered 3 cases of renal artery aneurysms that were found incidentally during imaging studies. We used urological approach to undergo renal or adrenal surgery and we injected renal protection solution into the kidney after clamping the renal artery, later we underwent renal artery aneurysmectomy. In all cases, we got good operative field, and they went an uneventful postoperative course without deterioration of renal function. In surgical treatment of renal artery aneurysm, this approach method, reconstructive procedure, and renal protection are satisfied enough.

 

Jpn. J. Cardiovasc. Surg. 47:307-311（2018）

Keywords：renal artery aneurysm;hypochondriac transverse incision;Chevron incision;lumbar oblique incision;renal protective solution