Surgical treatment of distal renal artery aneurysm

Renal artery aneurysms (RAAs) are rare in comparison to other arterial aneurysms. However, they have great clinical importance due to their natural history leading to serious complications. The restoration of anterograde flow is the conventional standard for elective treatment of RAAs in contemporary practice. Several open and endovascular procedures meet this criterion. The choice of RAA treatment depends on their anatomy and location, associated vascular procedures, as well as on patients comorbidities and life expectancy. Our case report includes an open repair of an RAA that involved the distal segment of the renal artery. This approach represents an efficient and safe treatment option if it is performed by an experienced vascular surgeon. Open repair of RAAs is especially recommended in children and young patients.