부산대학교 도서관

Recently, endovascular treatment of renal artery aneurysms (RAAs) has been widely used. Especially, RAAs arising from the main renal artery trunk can be best managed with stent-graft treatment. We reported a case of 70-year-old man accidentally diagnosed with right RAA (29×22 mm saccular aneurysm at main renal artery trunk), coronary artery disease (left main trunk and three vessel disease), and left common iliac artery aneurysm (CIAA) by preoperative examination of an inguinal hernia. We treated his renal artery aneurysm with stent-graft treatment using Gore VIABAHN VBX following off-pump coronary artery bypass grafting for coronary artery disease. We decided to use VIABAHN VBX that could be more dilated using a larger balloon to adapt to different proximal and distal diameters of his renal artery. Postoperative enhanced computed tomography showed the aneurysm completely thrombosed, and endoleak was absent. After that, he received stent graft treatment for the CIAA, and his clinical course was good.