Ruptured Renal Artery Aneurysm in a Pregnant Woman: Case Report and Literature Review

Abstract

Renal artery aneurysms (RAAs) are rare and usually asymptomatic; ∼ 90% of them are unilateral. Once diagnosed during pregnancy, they may rupture, presenting a high maternal-fetal risk. The present study reports the case of a 32-year-old pregnant woman with a 30-week gestational age and a ruptured unilateral RAA.

Resumo

Os aneurismas de artéria renal (AAR) são raros, normalmente assintomáticos, e ∼ 90% dos casos são unilaterais. Uma vez diagnosticados durante a gestação, estes podem se tornar predisponentes a rotura e apresentar elevado risco materno-fetal. O presente artigo relata o caso de uma gestante de 32 anos, com idade gestacional de 30 semanas e quadro de AAR unilateral roto.

Keywords

renal artery aneurysm - aneurysm in pregnant women - broken aneurysm - gestation - renal aneurysm rupture

Palavras-chave

aneurisma de artéria renal - aneurisma nas gestantes - aneurisma roto - gestação - ruptura de aneurisma renal

• References

• 1 Ferreira J, Pires V, Sousa P. Correção endovascular de aneurisma da artéria renal com a técnica de Moret: caso clínico. Angiol Cir Vasc 2014; 10: 159-162 Doi: 10.1016/j.ancv.2014.08.001
• 2 Stanley JC, Henke PK. Renal artery aneurysms. In: D'Sa AABB, Chant ADB. , eds. Emergency Vascular and Endovascular Surgical Practice. London: Hodder Education; 2005: 315-324
• 3 Schulte W, Rodriguez-Davalos M, Lujic M, Schlosser F, Sumpio B. Operative management of hilar renal artery aneurysm in a pregnant patient. Ann Vasc Dis 2015; 8 (03) 242-245 Doi: 10.3400/avd.cr.15-00026
• 4 Coleman DM, Stanley JC. Renal artery aneurysms. J Vasc Surg 2015; 62 (03) 779-785 Doi: 10.1016/j.jvs.2015.05.034
• 5 Maughan E, Webster C, Konig T, Renfrew I. Endovascular management of renal artery aneurysm rupture in pregnancy - A case report. Int J Surg Case Rep 2015; 12: 41-43 Doi: 10.1016/j.ijscr.2015.05.011
• 6 Cohen JR, Shamash FS. Ruptured renal artery aneurysms during pregnancy. J Vasc Surg 1987; 6 (01) 51-59 Doi: 10.1067/mva.1987.avs0060051
• 7 Moreira J, Nunes P, Antunes L. , et al. Aneurisma da artéria renal – caso clínico. Rev Angiol Cir Vasc 2011; 7: 215-218
• 8 Rodrigues RG, Lucas ELO, Pereira ALBM. , et al. Ruptura espontânea da veia renal em gestante: um relato de caso. Rev Fac Ciênc Méd Sorocaba 2016; 18: 228-230 Doi: 10.5327/Z1984-4840201626449
• 9 González J, Esteban M, Andrés G, Linares E, Martínez-Salamanca JI. Renal artery aneurysms. Curr Urol Rep 2014; 15 (01) 376 Doi: 10.1007/s11934-013-0376-z
• 10 Metzger PB, Kambara AM, Barbato HA, Rossi FH, Izukawa NM. Endovascular approach of a patient with bilateral renal artery fibrodysplasia associated with a massive renal aneurysm. Rev Bras Cardiol Invasiva 2015; 23: 145-147 Doi: 10.1016/j.rbciev.2015.12.015