Ruptured renal artery aneurysm during pregnancy: Successful ex situ repair and autotransplantation

• Published in: Journal of vascular surgery Vol. 33; no. 1; pp. 188 - 190
• Main Authors: Lacroix, Hendrik, Bernaerts, Pauwel, Nevelsteen, André, Hanssens, Myriam
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.01.2001; Elsevier
• Subjects: Adult; Anastomosis, Surgical; Aneurysm, Ruptured - diagnostic imaging; Aneurysm, Ruptured - surgery; Biological and medical sciences; Cesarean Section; Female; Humans; Iliac Vein - surgery; Infant, Newborn; Medical sciences; Pregnancy; Pregnancy Complications, Cardiovascular - diagnostic imaging; Pregnancy Complications, Cardiovascular - surgery; Radiography; Renal Artery - diagnostic imaging; Renal Artery - surgery; Renal Veins - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Transplantation, Autologous; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Human; Kidney disease; Urinary system disease; Renal artery; Cardiovascular disease; Transplantation; Autotransplantation; Arterial disease; Vascular disease; Dissecting aneurysm; Case study; Pregnancy; Concomitant disease; Treatment; Young adult; Female
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2001.109767

Rupture of a renal artery aneurysm during pregnancy is a rare event, with a high mortality rate for both mother and fetus. Until now, 25 cases have been reported in the English medical literature. Renal salvage with in situ repair of the renal artery has been documented in only four cases, and successful ex situ repair and autotransplantation in only one case. We report the case of a mother and fetus who both survived acute rupture of a renal artery aneurysm after treatment with ex situ repair and autotransplantation. (J Vasc Surg 2001;33:188-90.)