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Renal artery aneurysms: presentation of five cases

Journal of Human Hypertension volume 22, pages 135–137 (2008)Cite this article

We are presenting clinical characteristics, management and follow-up of five consecutive patients with renal artery aneurysm. Renal artery aneurysms are relatively uncommon, they rarely give rise to clinical manifestations and they are usually found incidentally. However with the introduction of Doppler ultrasound, computed tomography (CT) and magnetic resonance (MR) imaging, the diagnosis of renal artery aneurysms became more frequent. In recent years, a wide range of therapeutic options has been reported, including surgical resection, transcatheter arterial embolization and stent-graft deployment.1, 2, 3, 4, 5, 6, 7

Case 1: A 40-year-old female was admitted with a history of blurred vision, severe headaches and severe hypertension. Fundoscopy demonstrated bilateral papilloedema, haemorrhages and hard exudates. On examination, urinary proteinuria was noted (Table 1). Colour duplex Doppler sonography suggested a right renal artery aneurysm. Computed tomography revealed 8 mm right renal artery aneurysm. The patient was put on indapamide 1.5 mg day−1, amlodipine 5 mg day−1, lisinopril 20 mg day−1 and atenolol 50 mg day−1 and better control of blood pressure (BP) was achieved (Table 1). Successful embolization was performed with a one detachable platinum coil (30 cm in length, 10 mm in coiled diameter; Target, Boston, MA, USA). Control CT documented successful embolization. In 15-month follow-up, BP remained well controlled on two antihypertensive drugs and creatinine concentration was within normal limits (Table 1).

Table 1 Clinical characteristics, treatment and follow-up of presented cases
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Authors and Affiliations

  1. Department of Hypertension, Institute of Cardiology, Warsaw, Poland

    K Paschalis-Purtak, B Puciłowska-Jankowska, A Prejbisz, M Makowiecka-Cieśla, M Kabat & A Januszewicz

  2. II Department of Clinical Radiology, Medical University, Warsaw, Poland

    M Januszewicz & O Rowiński

  3. Department of General, Vascular and Transplant Surgery, Medical University, Warsaw, Poland

    J Szmidt & G Szostek

  4. Department of Radiology, Institute of Cardiology, Warsaw, Poland

    I Michałowska

Authors
  1. K Paschalis-Purtak
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  2. M Januszewicz
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  4. J Szmidt
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  5. O Rowiński
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  8. I Michałowska
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  9. M Makowiecka-Cieśla
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  10. M Kabat
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Correspondence to A Januszewicz.

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Supplementary Information accompanies the paper on the Journal of Human Hypertension website (http://www.nature.com/jhh)

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Paschalis-Purtak, K., Januszewicz, M., Puciłowska-Jankowska, B. et al. Renal artery aneurysms: presentation of five cases. J Hum Hypertens 22, 135–137 (2008). https://doi.org/10.1038/sj.jhh.1002274

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