PMID- 2911140
OWN - NLM
STAT- MEDLINE
DCOM- 19890215
LR  - 20220419
IS  - 0741-5214 (Print)
IS  - 0741-5214 (Linking)
VI  - 9
IP  - 1
DP  - 1989 Jan
TI  - Renal artery aneurysm: selective treatment for hypertension and prevention of 
      rupture.
PG  - 26-34
AB  - Thirty-nine patients with renal artery aneurysm (RAA) were seen over a period of 
      15 years. Among 20 women and 19 men, 31 were found to have solitary aneurysms, 
      and eight had multiple RAA. Thirty-three patients had diastolic hypertension; 
      nine of them proved to be of renovascular origin. Of the 18 patients who 
      underwent RAA resection, 13 had reconstruction for treatment of hypertension, 
      three had a solitary functional kidney, one had recurrent flank pain, and one had 
      resection for prevention of rupture in a woman of childbearing age. Six of the 18 
      patients had aneurysmorrhaphy with primary repair or patching, seven had a 
      resection with an aortorenal bypass, and five patients had six ex vivo renal 
      reconstructions with multiple anastomoses. Nephrectomy was performed in two 
      patients with RAA rupture at the time of childbirth and in one patient with 
      hypertension and RAA in a poorly functioning kidney. Reconstructive procedures 
      for documented renovascular hypertension in seven patients resulted in 
      improvement in all cases. Blood pressure improved in only six of 10 patients 
      operated on with hypertension and no lateralization of renovascular studies. 
      Eighteen patients were observed for one to 16 years without surgery, and none 
      experienced rupture. Resection of RAA is indicated to treat patients with 
      renovascular hypertension, patients with hypertension and a solitary functional 
      kidney, and selected patients with severe hypertension and to prevent rupture in 
      women who may become pregnant. Other patients with asymptomatic RAA can be safely 
      observed clinically without serial arteriograms and without fear of 
      rupture.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Martin, R S 3rd
AU  - Martin RS 3rd
AD  - Vanderbilt University Medical Center, Nashville, TN.
FAU - Meacham, P W
AU  - Meacham PW
FAU - Ditesheim, J A
AU  - Ditesheim JA
FAU - Mulherin, J L Jr
AU  - Mulherin JL Jr
FAU - Edwards, W H
AU  - Edwards WH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Vasc Surg
JT  - Journal of vascular surgery
JID - 8407742
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aneurysm/complications/diagnostic imaging/*surgery
MH  - Child
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Hypertension, Renovascular/*etiology/physiopathology
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Radiography
MH  - *Renal Artery/diagnostic imaging
MH  - Rupture, Spontaneous
EDAT- 1989/01/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1989/01/01 00:00
PHST- 1989/01/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1989/01/01 00:00 [entrez]
AID - 0741-5214(89)90216-4 [pii]
PST - ppublish
SO  - J Vasc Surg. 1989 Jan;9(1):26-34.