Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2022)

A rare case of concurrent proximal and hilar renal artery aneurysm with renal arteriovenous fistula

  • Qingwen Kawaji, MD, ScM,
  • Felecia Jinwala, MD,
  • Gabriel A. Pereira, MD,
  • John Karwowski, MD,
  • Michael Hall, MD

Journal volume & issue
Vol. 8, no. 2
pp. 142 – 145

Abstract

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Renal artery aneurysm (RAA) and renal arteriovenous fistula are rare vascular pathologies with reported incidences of 0.3% to 1.0% and 0.04% in the general population, respectively. We describe a 61-year-old Caucasian man who presented to the hospital with symptoms of right flank pain. Imaging demonstrated a right RAA with concurrent hilar RAA and renal arteriovenous fistula. He ultimately underwent an open right nephrectomy, ligation of the fistula, and bovine patch repair of the aortic defect.