Acute rupture of a fibromuscular dysplasia related renal artery aneurysm: emergency treatment with a covered stent.

ABSTRACT

We report the successful exclusion of a ruptured left renal artery aneurysm as a first presentation of fibromuscular dysplasia in a haemodynamically unstable 57-year-old man. The aneurysm was repaired in an emergency setting by deployment of a covered stent with a satisfactory result. Follow-up computed tomography confirmed successful exclusion of the aneurysm. A renal artery branch originating from the aneurismal sac was sacrificed with subsequent regional infarction. Our experience shows that the use of a covered stent is an effective, quick and life saving procedure in a ruptured renal artery aneurysm.