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이석렬,손민수,강재희,박호철 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1
Renal artery aneurysms are rare, in less than 1% consecutive abdominal aortograms. Renal artery aneurysms are bilateral in about 10% of cases. Controversy persists regarding the indications for repair of renal artery aneurysms and optimal method of repair. The authors report a case of renal artery aneurysm with right renal atrophy in a 37-year-old male patient. This patient has no past medical history including hypertension. On physical examination, a pulsatile mass was palpated in left upper abdomen. Preoperative abdominal CT showed right renal atrophy and 8 cm diameter left renal aneurysm. Abdominal aortogram and left renal angiogram showed huge lobulated outpouching contrast collection at the proximal left renal artery without definite neck and diffuse irregularity at the proximal left renal artery. This patient was treated by splenectomy, thrombectomy, aneurysm resection and end to end splenorenal bypass. No remarkable postoperative complication was observed. The patient was doscjarged postoperative 12 days.