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Inicio Actas Urológicas Españolas Aneurisma de arteria renal. Nefrectomía laparoscópica, reconstrucción en banc...
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Vol. 32. Issue 7.
Pages 763-766 (January 2008)
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Vol. 32. Issue 7.
Pages 763-766 (January 2008)
Aneurisma de arteria renal. Nefrectomía laparoscópica, reconstrucción en banco y autotrasplante
Renal artery aneurysm. Laparoscopic nephrectomy, ex–vivo reconstruction and autotrasplantation
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A. Blanco díez1,a, J. Armas molinaa, A. Alvarado rodrígueza, A. Alcaraz asensio*,a, J. Artíles hernándeza, N. Chesa poncea
* Servicio Urología. Hospital Clínic i Provincial. Barcelona
a Servicio Urología. Hospital Universitario Insular de Gran Canaria
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Resumen

Se presenta un caso de paciente hipertenso severo con mala respuesta a pesar de 5 fármacos, el cual es diagnosticado de aneurisma en arteria renal derecha, durante el estudio de su HTA. Se realiza cirugía conservadora renal haciendo extracción laparoscópica del injerto, reconstrucción en banco del pedículo, y posterior trasplante en fosa ilíaca derecha aprovechado la incisión ilioinguinal empleada para la extracción, sin necesidad de dos incisiones. Se realiza breve discusión de indicaciones de la cirugía en estos pacientes

Palabras clave:
Aneurisma de arteria renal
Cirugía
Hipertensión arterial
Abstract

We report a case of severe hypertensive patient with poor response regardless 5 drugs, that is diagnosed with right renal artery aneurysm, during the study of his HTN. Conservative surgery was performed by extracting laparoscopic kidney graft,ex-vivo pedicle reconstruction, followed by transplant in right iliac fossa utilizing the ilioinguinal incision used for the extraction, without need for two incisions. We perform a brief discussion of surgery indications of surgery in these patients

Key words:
Renal artery aneurysm
Surgery
Hypertension

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