Ex vivo repair of a large renal artery aneurysm and associated arteriovenous fistula |
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| Authors: | Gustavo Torres Thomas T Terramani Fred A Weaver |
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| Institution: | (1) Department of Surgery, Division of Vascular Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, US |
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| Abstract: | The development of a renal artery to vein arteriovenous fistula due to a large extraparenchymal renal artery aneurysm is uncommon.
Previous surgical experience with this entity is limited. Based on the existing surgical literature, nephrectomy has been
the treatment of choice. We report preservation of the kidney by surgical correction of this entity using ex vivo "bench"
repair in a middle-aged female with fibromuscular dysplasia of the renal artery. The technique, results, and recommendations
for surgical management are discussed. |
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