Skip to main content
SpringerLink
Log in

Hypertension due to an aneurysm of the left renal artery in a patient with neurofibromatosis

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

Arterial lesions in patients with neurofibromatosis are rarely described and in most cases are stenotic. The aneurysmal changes reported in the literature are usually characterized by multiple microaneurysms due to the dysplastic lesions of the artery. We report a case of a single aneurysm of the inferior hilar branch of the left renal artery of a young female with neurofibromatosis. The patient showed hypoperfusion of the renal pole fed by this branch and was hypertensive. The aneurysm had a diameter of 4 cm and showed the histological findings typical of dysplastic lesions of neurofibromatosis. The hypertension and the renal pole hypoperfusion recovered after surgical excision of the aneurysm and end-to-end anastomosis of the hilar branch stumps.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. RICCARDI VM. Von recklinghausen neurofibromatosis.N Engl J Med 1991;305:1617–1627.

    Article  Google Scholar 

  2. CRADDOCK GR, CHALLA R, DEAN RH. Neurofibromatosis and renal artery stenosis: a case of familiar incidence.J Vasc Surg 1988;8:489–494.

    Article  PubMed  Google Scholar 

  3. FRY WJ, ERNST CB, STANLEY JC, et al. Renovascular hypertension in the pediatric patient.Arch Surg 1973;107:692–698.

    PubMed  CAS  Google Scholar 

  4. BOURKE E, GOTNBY PBB. Renal artery dysplasia with hypertensin in neurofibromatosis.Br Med J 1971;3:681–682.

    Article  PubMed  CAS  Google Scholar 

  5. SALYER WR, SALYER DC. The vascular lesions of neurofibromatosis.Angiology 1974;25:510–519.

    PubMed  CAS  Google Scholar 

  6. HALPERN M, CURRARINO G. Vascular lesions causing hypertension in neurofibromatosis.N Engl J Med 1965;273:248–252.

    Article  Google Scholar 

  7. BLOOR K, WILLIAMS RT. Neurofibromatosis and coartation of the abdominal aorta with renal artery involvement.Br J Surg 1963;50:811–813.

    PubMed  CAS  Google Scholar 

  8. REUBI F. Les vaiseeaux et les glandes endocrines dans la neurofibromatose: le syndrome sympathicotonique dans la maladie de recklinghausen.Schweiz Z Pathol Bakteriol 1944:7:168–236.

    Article  Google Scholar 

  9. FEYRTER FR. Uber neurome und neurofibromatose, nach untersuchungen am menschlichen mayen-darmschlauch.Wiem Med Wochemschr 1948;98:287–290.

    CAS  Google Scholar 

  10. GREEN JF, FITZWATER JE, BURGEES J. Arterial lesions associated with neurofibromatosis.Am J Clin Pathol 1974;62:481–487.

    PubMed  Google Scholar 

  11. ORCEL L, CHOMETTE G. Anatomie pathologique vasculaire. Flammarion Medecine-Scinces, Paris 1978.

    Google Scholar 

  12. MARTIN RS, MEACHAM PW, DITESHEIM JA, et al. Renal artery aneurysm: selective treatment for hypertension and prevention of rupture.J Vasc Surg 1989;9:26–34.

    Article  PubMed  Google Scholar 

  13. STANLEY JC, RHODES EL, GEWERTZ BL. Renal artery aneurysms: significance of macroaneurysms exclusive of dissections and fibrodysplastic mural dilatations.Arch Surg 1975;110:1327–1333.

    PubMed  CAS  Google Scholar 

  14. STANLEY JC. Discussion of MARTIN RS, MEACHAM PW, DITESHEIM JA, et al. Renal artery aneurysm: selective treatment for hypertension and prevention of rupture.J Vasc Surg 1989;9:34.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. the Instituto di Anatomia e Istologia Patologica, Ospedale Malpighi, Bologna, Italy

    F. Bertoni MD

  2. Cattedra di Chirurgia Vascolare, Università Policlinico S. Orsola, Via Massarenti 9, 40138, Bologna, Italy

    Gian Luca Faggioli MD, Mauro Gargiulo MD, Salvatore Tarantini MD & Andrea Stella MD

Authors
  1. Gian Luca Faggioli MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mauro Gargiulo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Bertoni MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Salvatore Tarantini MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Andrea Stella MD
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Faggioli, G.L., Gargiulo, M., Bertoni, F. et al. Hypertension due to an aneurysm of the left renal artery in a patient with neurofibromatosis. Annals of Vascular Surgery 6, 456–459 (1992). https://doi.org/10.1007/BF02007003

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02007003

Key words

Search

Navigation