作者
Elias Bastounis, Emmanouil Pikoulis, Sotiris Georgopoulos, Dimitrios Alexiou, Ari Leppäniemi, Dimitrios Boulafendis
发表日期
1998/1/1
期刊
European urology
卷号
33
期号
1
页码范围
22-27
出版商
S. Karger AG
简介
Objective
To review the clinical features and results of surgical treatment of renal artery aneurysms from two large centers. Patients and Methods
A retrospective analysis of 21 hypertensive patients with renal artery aneurysms operated in two centers during a 24-year period was performed. Results
The presenting symptom was subcostal or flank pain in 8 (38%) and hematuria in 5 (24%) cases. A ring-like calcification was seen on plain X-ray in 6 (29%) cases. All patients were evaluated with renal angiography showing a saccular aneurysm in 13 cases (62%), fusiform in 5 (24%) and dissecting in 3 (14%) cases. All saccular aneurysms were treated with resection followed by reconstruction with vein patch in 10 cases, and with and end-to-end anastomosis in 3 cases. All fusiform and dissecting aneurysms were managed with resection and reconstruction using aortorenal bypass. There was no hospital mortality or …引用总数
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E Bastounis, E Pikoulis, S Georgopoulos, D Alexiou… - European urology, 1998