PMID- 8879393
OWN - NLM
STAT- MEDLINE
DCOM- 19970121
LR  - 20161123
IS  - 0890-5096 (Print)
IS  - 0890-5096 (Linking)
VI  - 10
IP  - 4
DP  - 1996 Jul
TI  - Ruptured renal artery aneurysm during pregnancy.
PG  - 370-2
AB  - A 38-year-old woman (gravida 4, para 1) underwent arteriography at 19 weeks' 
      gestation after two exploratory laparotomies had failed to identify a source of 
      retroperitoneal and intra-abdominal hemorrhage. The arteriogram demonstrated a 
      large right renal artery aneurysm (RAA) and a very small left RAA. Emergency 
      repair of the aneurysm was attempted but was impossible, so a right nephrectomy 
      was performed. The fetus had died prior to arteriography and a cesarean section 
      was performed concomitantly. The postoperative course was unremarkable. RAAs are 
      rare and usually asymptomatic, but pregnancy is associated with a higher risk of 
      rupture. Prior to 1970, reported rupture occurred most often on the left side, 
      during the third trimester, and was associated with a 92% maternal mortality and 
      a 100% fetal mortality rate. Since 1970, published reports have not shown a 
      left-sided predominance, and survival after this catastrophic event has greatly 
      improved, even though preoperative diagnosis is still rare. The possibility of a 
      ruptured RAA should be considered in pregnant women with evidence of 
      retroperitoneal hemorrhage. Arterial repair should be attempted but has not been 
      feasible in most cases. This case was unusual because it occurred during the 
      second trimester of pregnancy. Recent cases and technical considerations 
      regarding repair are discussed.
FAU - Yang, J C
AU  - Yang JC
AD  - University of California, San Diego Medical Center 92103-8401, USA.
FAU - Hye, R J
AU  - Hye RJ
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Abdomen
MH  - Adult
MH  - Aneurysm, Ruptured/*diagnosis/diagnostic imaging/surgery
MH  - Angiography
MH  - Cesarean Section
MH  - Diagnosis, Differential
MH  - Female
MH  - Fetal Death
MH  - Hemorrhage/diagnosis
MH  - Humans
MH  - Laparotomy
MH  - Nephrectomy
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/*diagnosis/diagnostic imaging/surgery
MH  - Pregnancy Trimester, Second
MH  - Renal Artery/diagnostic imaging/*pathology/surgery
MH  - Retroperitoneal Space
MH  - Survival Rate
EDAT- 1996/07/01 00:00
MHDA- 1996/07/01 00:01
CRDT- 1996/07/01 00:00
PHST- 1996/07/01 00:00 [pubmed]
PHST- 1996/07/01 00:01 [medline]
PHST- 1996/07/01 00:00 [entrez]
AID - S0890-5096(06)62095-5 [pii]
AID - 10.1007/BF02286782 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 1996 Jul;10(4):370-2. doi: 10.1007/BF02286782.