Giant Renal Artery Aneurysms: Decision-Making Dilemmas

Giant Renal Artery Aneurysms: Decision-Making Dilemmas

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A case of a 10 cm giant renal artery aneurysm in an 81-year-old lady is herein reported.The patient presented as an incidental finding on an abdominal ultrasound with an aneurysm French Door Closing Bar which was large, soft, egg-shell-like, and bilobular with a cauliflower-type pattern invading the parenchyma of the renal substance and extending caudally.A right nephrectomy was carried out, and the patient made an uneventful recovery.This paper reviews the options for treatment of giant renal artery aneurysms and highlights the benefit of a planned nephrectomy once there is adequate renal reserve in the opposite kidney using a midline approach for right-sided giant renal artery aneurysms and Shopping Totes a left-sided flank approach for left-sided aneurysms.