PMC8276645_01
A) CT volume rendered image (VRT) showing multiple aneurysms in the right renal artery, the largest measuring 5 x 4.5 cm (arrow). B) Intraoperative picture showing the large size of the aneurysm (arrow). C) Intraoperative picture showing repair of aneurysm with two saphenous vein grafts.
jvb-20-e20210012-g01.jpg
PMC8276645_01_jvb-20-e20210012-g01.jpg
gf01
The largest measured 5 x 4.5 cm in size, had a peripheral rim of calcification, and arose from the lower branch, while two smaller aneurysms arose from the upper division of the right renal artery (Figures 1A and 1B). The harvested venous graft was configured accordingly and distal anastomosis was done in the sac of large aneurysm over the outflow ends and another vein graft was used to anastomose it with the upper division distal to the small aneurysms (Figure 1C).
A) Picture showing well-perfused, pink colored, right kidney in its bed after orthotopic auto transplantation. B) Postoperative CT VRT images at 1-year follow-up, showing intact repair of aneurysm. C) Delayed CT image showing well-perfused renal parenchyma.
jvb-20-e20210012-g02.jpg
PMC8276645_01_jvb-20-e20210012-g02.jpg
gf02
The kidney became pink once flow was reestablished (Figure 2A) and flow was further confirmed with handheld doppler. Her postoperative CT angiogram at 1 year follow up showed an intact repair and well-perfused right kidney (Figure 2B and 2C).