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Aneurysm of the Right Renal Artery
Eur J Vasc Endovasc Surg (2016)
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COUP D’OEIL
Aneurysm of the Right Renal Artery S.H. Koter *, A. Baumann Medical University, Graz Department of Surgery, Division for Vascular Surgery, Auenbruggerplatz 29, 8036 Graz, Austria
A 65-year-old man presented with atypical subcostal pain on the right side. Abdominal ultrasound revealed a spherical lesion near the upper pole of the right kidney with turbulent high-velocity flow spectrum. Additional computed tomography angiography scan confirmed a 6-cm right renal artery aneurysm with parietal thrombus. Endovascular treatment was conducted by a left brachial artery approach with exclusion of the aneurysm by placement of a covered stent (Viabahn 7 50 mm; W.L Gore & Associates, Livingston, UK). Completion angiography confirmed aneurysm exclusion with no renal loss, and the patient was discharged on dual antiplatelet therapy (aspirin 100 mg, clopidogrel 75 mg).
* Corresponding author. E-mail address: [email protected] (S.H. Koter). 1078-5884/Ó 2016 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2016.03.024
Please cite this article in press as: Koter SH, Baumann A, Aneurysm of the Right Renal Artery, European Journal of Vascular and Endovascular Surgery (2016), http://dx.doi.org/10.1016/j.ejvs.2016.03.024
-,
1
COUP D’OEIL
Aneurysm of the Right Renal Artery S.H. Koter *, A. Baumann Medical University, Graz Department of Surgery, Division for Vascular Surgery, Auenbruggerplatz 29, 8036 Graz, Austria
A 65-year-old man presented with atypical subcostal pain on the right side. Abdominal ultrasound revealed a spherical lesion near the upper pole of the right kidney with turbulent high-velocity flow spectrum. Additional computed tomography angiography scan confirmed a 6-cm right renal artery aneurysm with parietal thrombus. Endovascular treatment was conducted by a left brachial artery approach with exclusion of the aneurysm by placement of a covered stent (Viabahn 7 50 mm; W.L Gore & Associates, Livingston, UK). Completion angiography confirmed aneurysm exclusion with no renal loss, and the patient was discharged on dual antiplatelet therapy (aspirin 100 mg, clopidogrel 75 mg).
* Corresponding author. E-mail address: [email protected] (S.H. Koter). 1078-5884/Ó 2016 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2016.03.024
Please cite this article in press as: Koter SH, Baumann A, Aneurysm of the Right Renal Artery, European Journal of Vascular and Endovascular Surgery (2016), http://dx.doi.org/10.1016/j.ejvs.2016.03.024