Bilateral accessory renal arteries in a fetus: importance for surgical and radiological practice

 
 
 
  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract


    Context: Knowledge of anatomical variations of the renal vessels is considered important, in view of the increasing use of kidney transplantation, vascular reconstruction and imaging methods.

    Objective: To report on a case of triple right renal artery, and double left renal artery and its clinical-surgical implications.

    Case report: In a female fetal cadaver of age 30 weeks, multiple renal arteries were observed: triple in the right and double in the left renal artery. All the arteries were hilar and originated from the lateral face of the abdominal aorta. The lengths of the triple renal arteries were 17, 10 and 12 mm respectively for the upper, middle and lower arteries. The lengths of the double arteries were 10 and 12 mm respectively for the upper and lower arteries. There was no extrarenal segmentation.

    Conclusion: Knowledge of possible variations in the renal arteries may be very useful for radiologists, urologists and vascular surgeons.


  • Keywords


    Anatomy; Renal Artery; Urogenital Abnormalities; Kidney Transplantation.

  • References


      [1] Sampaio FJ, Passos MA. Renal arteries: anatomic study for surgical and radiological practice. Surg Radiol Anat. 1992; 14 (2):113-7. http://dx.doi.org/10.1007/BF01794885.

      [2] Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM. Additional renal arteries: incidence and morphometry. Surg Radiol Anat. 2001; 23 (1):33-8. http://dx.doi.org/10.1007/s00276-001-0033-y.

      [3] Baltacioğlu F, Ekinci G, Akpinar IN, Cimşit NC, Tuğlular S, Akoğlu E. Endovascular treatment of renal artery stenosis: Technical and clinical results. Tani Girisim Radyol. 2003 Jun; 9(2):246-56.

      [4] Khamanarong K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K. Anatomy of renal arterial supply. Clin Anat. 2004 May; 17(4):334-6. http://dx.doi.org/10.1002/ca.10236.

      [5] Petru B, Elena S, Dan I, Constantin D. The morphology and the surgical importance of the gonadal arteries originating from the renal artery. Surg Radiol Anat. 2007 Jul; 29(5):367-71. http://dx.doi.org/10.1007/s00276-007-0224-2.

      [6] Sa-udo JR, Vázquez R, Puerta J. Meaning and clinical interest of the anatomical variations in the 21st century. Eur J Anat. 2003 July; 7(Suppl 1):1–3.

      [7] Raikos A, Paraskevas GK, Natsis K, Tzikas A, Njau SN. Multiple variations in the branching pattern of the abdominal aorta. Rom J Morphol Embryol. 2010; 51(3):585-7.

      [8] Sykes D. The arterial supply of the human kidney with special reference to accessory renal arteries. Br J Surg. 1963 Jan; 50:368-74. http://dx.doi.org/10.1002/bjs.18005022204.

      [9] Willan PL, Humpherson JR. Concepts of variation and normality in morphology: important issues at risk of neglect in modern undergraduate medical courses. Clin Anat. 1999; 12(3):186-90. http://dx.doi.org/10.1002/(SICI)1098-2353(1999)12:3<186::AID-CA7>3.0.CO;2-6.

      [10] Aragão JA, de Oliveira Pacheco JM, Silva LA, Reis FP. Frequency of multiple renal arteries in human fetuses. Surg Radiol Anat. 2012 Mar; 34(2):133-6. http://dx.doi.org/10.1007/s00276-011-0860-4.

      [11] Olave E, Henríquez J, Puelma F, Cruzat C, Soto A. Arterias Renales Múltiples. Int. J. Morphol. 2007; 25(4):927-30. http://dx.doi.org/10.4067/S0717-95022007000400040.

      [12] Hollinshead, WH. The kidneys, ureters and suprarenal glands. In: Anatomy for surgeons. 2ª Ed. New York USA, Harper & Row Plubishers, 1971; 2:518-568.

      [13] Kuczera M, Gajda G, Gielecki JS. Digital analysis of the dynamics of the arterial supply to the human foetal kidneys. Folia Morphol. 2003 Jul; 62(4):381-384.

      [14] Moore KL, Persaud TVN. Período Fetal: da nona semana ao nascimento. In: Embriologia clínica. 8ª ed. Rio de Janeiro: Elsevier, 2008; p. 104.

      [15] Fine H, Keen EN. The arteries of the human kidney. J Anat. 1966; 100:881-894.

      [16] Spanos PK, Simmons RL, Kjellstrand CM, Buselmeier TJ, Najarian JS. Kidney transplantation from living related donors with multiple vessels. Am J Surg, 1973; 125: 554 -558? http://dx.doi.org/10.1016/0002-9610(73)90137-2.

      [17] Merklin RJ, Michels NA. The variant renal and suprarenal blood supply with data on the inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of the literature. J Int Coll Surg. 1958 Jan; 29(1, Part 1):41-76.

      [18] Harrison LH Jr, Flye MW, Seigler HF. Incidence of anatomical variants in renal vasculature in the presence of normal renal function. Ann Surg. 1978 Jul; 188(1):83-9. http://dx.doi.org/10.1097/00000658-197807000-00014.

      [19] Gościcka D, Szpinda M, Kochan J. Accessory renal arteries in human fetuses. Ann Anat. 1996 Dec; 178(6):559-63. http://dx.doi.org/10.1016/S0940-9602(96)80118-X.

      [20] Busato Júnior WFS, Ribas Filho JM. Estudo da Distribuição Arterial em Rins Humanos. Arquivos Catarinenses de Medicina. 2003 Jul-Sep; 32(3):21-27.

      [21] Bordei P, Sapte E, Iliescu D. Double renal arteries originating from the aorta. Surg Radiol Anat. 2004 Dec; 26(6):474-9. http://dx.doi.org/10.1007/s00276-004-0272-9.

      [22] Bergman RA, Afifi AK, Miyauchi R. Renal arteries: Illustrated encyclopedia of human anatomic variation: Opus II: Cardiovascular system: Arteries: Abdomen. 2005. Available from: http://www.vh.org/adult/provider/anatomyvariants/cardiovascular/text/arteries/renal.html.

      [23] Kaneko N, Kobayashi Y, Okada Y. Anatomic variations of the renal vessels pertinent to transperitoneal vascular control in the management of trauma. Surgery. 2008 May; 143(5):616-22. http://dx.doi.org/10.1016/j.surg.2008.02.003.

      [24] Çiçekcibaşi AE, Ziylan T, Salbacak A, Seker M, Büyükmumcu M, Tuncer I. An investigation of the origin, location and variations of the renal arteries in human fetuses and their clinical relevance. Ann Anat. 2005 Sep; 187(4):421-7. http://dx.doi.org/10.1016/j.aanat.2005.04.011.

      [25] Mazzucchi E, Sousa AA, Nahas WC, Antonopoulos IM, Piovesan AC, Arap S. Surgical complications after renal transplantation in grafts with multiple arteries. Int. Braz J Urol. 2005 Mar-Apr; 31(2): 125-130. http://dx.doi.org/10.1590/S1677-55382005000200006.

      [26] Pestemalci T, Mavi A, Yildiz YZ, Yildirim M, Gumusburun E. Bilateral triple renal arteries. Saudi J Kidney Dis Transpl. 2009 May; 20(3):468-70.


 

View

Download

Article ID: 4702
 
DOI: 10.14419/ijbas.v4i3.4702




Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.