Ex Vivo Resection and Renal Autotransplantation for the Treatment of a Large Renal Vein Aneurysm Causing Recurrent Pulmonary Embolism and a Coexisting Vascular Malformation
Restricted accessCase reportFirst published online August, 2016
Ex Vivo Resection and Renal Autotransplantation for the Treatment of a Large Renal Vein Aneurysm Causing Recurrent Pulmonary Embolism and a Coexisting Vascular Malformation
A 36-year-old young woman with a medical history of recurrent pulmonary embolism and chronic pelvic pain was admitted to our hospital. Contrast-enhanced imaging techniques revealed a large left renal vein aneurysm with a coexisting vascular mass. The patient was operated on electively, and the left kidney was autotransplanted to the right ileac fossa following the ex vivo resection of the vascular mass and the left renal vein aneurysm. Herein, we report an unusual coexistence of a vascular mass and recurrent pulmonary embolism treated successfully with our surgical treatment strategy.
SfyroerasGSAntoniouGADrakouAAKarathanosCGiannoukasAD. Visceral venous aneurysms: clinical presentation, natural history and their management: a systematic review. Eur J Vasc Endovasc Surg. 2009;38(4):498–505.
2.
Val-BernalJFFernándezNLópez-RasinesG. Symptomatic solitary right renal vein aneurysm: a case report. Cardiovasc Pathol. 2000;9(1):29–32.
3.
Val-BernalJFCaballeroCILastraPAzuetaAGutierrez-BañosJL. Aneurysm of the right renal vein arising from an idiopathic arteriovenous fistula. Cardiovasc Pathol. 2014;23(5):310–312.
4.
KhaderSMSaleebSFTeplickSK. General case of the day. Left renal vein aneurysm. Radiographics. 1999;19(6):1683–1685.
5.
VermaRKingASasaniAGuptaV. Endovascular repair of a giant renal vein aneurysm arising from an arteriovenous fistula. J Vasc Surg. 2011;54(6 suppl):91S.
6.
RuileKBayindirSVossR. Observations of a renal vein aneurysm in intrarenal arteriovenous fistula and hypernephroma. Z Urol Nephrol. 1966;59(10):737–744.
7.
ZhuYZhuXLiuWXuYTangL. Incidental finding of right renal vein aneurysm in a patient with hematuria. Urology. 2015;85(3):e9–e10.
8.
RaoMVPolcariAJSundaramVFosterRMHershbergerRCWoodsM. Right renal vein aneurysm discovered incidentally during laparoscopic nephrectomy. Urology. 2011;77(2):332–333.
9.
FerranteADi StasiCPiercontiFSniderF. Incidental finding of right renal venous aneurysm in a patient with symptomatic ipsilateral renal carcinoma: a case report. Cardiovasc Pathol. 2005;14(6):327–330.
10.
DaleRTBidnurSNguanCY. Late renal vein aneurysm following living related renal transplant. Can Urol Assoc J. 2014;8(3-4):e253–e255.
11.
LinTCLinCMChangHCKaoCCSunGHChaTL. A left circum-aortic renal vein aneurysm. Am J Surg. 2010;200(3):e37–e38.
12.
ClevertDAStickelMKoppR. Contrast-enhanced ultrasound versus CT and operative findings in evaluation of renal vein aneurysm with AV fistula. Clin Hemorheol Microcirc. 2008;39(1-4):147–154.
13.
KabaalioğluAYilmazSApaydinASindelTOzkaynakCLüleciE. Renal vein aneurysm: diagnosis with color Doppler sonography. AJR Am J Roentgenol. 1997;168(3):645–646.
14.
YoneyamaTBabaYFujiyoshiFHokotateHInoueHNakajoM. Left renal vein aneurysm: imaging findings. Abdom Imaging. 2003;28(2):233–235.
15.
TrambertJJRabinAMWeissKLTeinAB. Pericaliceal varices due to the nutcracker phenomenon. AJR Am J Roentgenol. 1990;154(2):305–306.
ReedNRKalraMBowerTCVrtiskaTJRicottaJJIIGloviczkiP. Left renal vein transposition for nutcracker syndrome. J Vasc Surg. 2009;49(2):386–393.
18.
LiuYSunYJinX. Left renocaval venous bypass with autologous great saphenous vein for nutcracker syndrome. J Vasc Surg. 2012;55(5):1482–1484.
19.
SalehipourMRasekhiAShiraziMHaghpanahAJahanbiniSEslahiSA. The role of renal autotransplantation in treatment of nutcracker syndrome. Saudi J Kidney Dis Transpl. 2010;21(2):237–241.
20.
AzharBPatelSChadhaPHakimN. Indications for renal autotransplant: an overview. Exp Clin Transplant. 2015;13(2):109–114.
21.
CowanNGBanerjiJSJohnstonRB. Renal autotransplantation: 27-year experience at two institutions. J Urol. 2015;194(5):1357–1361.
22.
López-Fando LavalleLBurgos RevillaJSáenz MedinaJ. Renal autotransplantation: a valid option in the resolution of complex cases. Arch Esp Urol. 2007;60(3):255–265.
23.
SevmisSKarakayaliHBoyvatFAytekinCHaberalM. Renal autotransplantation for the treatment of complex renovascular hypertension. Transplant Proc. 2006;38(10):3412–3415.
24.
ChicheLKiefferESabatierJColauAKoskasFBahniniA. Renal autotransplantation for vascular disease: late outcome according to etiology. J Vasc Surg. 2003;37(2):353–361.
25.
BeloyS. Classification of congenital vascular defects. Int Angiol. 1990;9(3):141–146.
26.
LegiehnGMHeranMK. Classification, diagnosis and interventional radiologic management of vascular malformations. Ortop Clin North Am. 2006;37(3):435–474.
27.
IraceLMartinelliOStumpoRCostaPGalloPFrancalanciP. Considerations on the pathogenesis, diagnosis and therapy of renal venous aneurysm. Minerva Cardioangiol. 1995;43(4):161–163.
