Treatment of renal artery aneurysm has traditionally been performed with conventional vascular reconstructive surgical repair. Endovascular treatment of renal artery aneurysm has been well described; however, embolization of the entire renal artery with subsequent infarction of the kidney has been infrequently reported. We are presenting a case of a 65-year-old man with marked retro-peritoneal lymphadenopathy secondary to lymphoma. He was found incidentally to have 3.9 cm × 3.9 cm left main renal artery aneurysm which was not amenable to endovascular stent-grafting and an open surgical repair carried high risk. He was treated with endovascular embolization of the entire left renal artery with subsequent infarction of left kidney; this was tolerated well by the patient who made good recovery with moderate elevation of the serum creatinine. This case illustrates that renal artery embolization is a safe option to treat renal artery aneurysm when conventional repair is problematic and other means of endovascular repair are not possible.
- Renal artery
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging