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Bilateral ex vivo repair and kidney autotransplantation for complex renal artery aneurysms: A case report and literature review
Authors:Pasquale Bartolomeo Berloco  Giovanni Battista Levi Sandri  Nicola Guglielmo  Quirino Lai  Fabio Melandro  Luca Poli  Gianluca Mennini  Giovanni Battista Di Pierro  Vincenzo Gentile  Massimo Rossi
Affiliation:1. Department of General Surgery and Organ Transplantation, Umberto I Policlinic of Rome, Sapienza University of Rome, , Rome, Italy;2. Department of Urology, Umberto I Policlinic of Rome, Sapienza University of Rome, , Rome, Italy
Abstract:We report the surgical management of a bilateral renal artery aneurysm diagnosed in a 41‐year‐old patient with a history of recurrent abdominal pain. The preoperative contrast‐enhanced computed tomography showed a complex saccular aneurysm on both renal arteries within the renal hilum. The characteristics of aneurysms precluded endovascular procedures, and a double‐step bilateral ex vivo reconstruction with kidney autotransplantation was planned. The intra‐ and postoperative period was uneventful. Imaging and laboratory examinations show preservation of renal function, and patient is symptom‐free at 10‐month follow up.
Keywords:autotransplantation  ex vivo repair  kidney transplantation  renal artery aneurysms
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