BILATERAL DUPLICATION OF RENAL ARTERY: EMBYOLOGICAL BASIS

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archana rani, A. Rani, J. Chopra, G. Sehgal, and P. Manik, “BILATERAL DUPLICATION OF RENAL ARTERY: EMBYOLOGICAL BASIS”, ijmhs, vol. 4, no. 2, Apr. 2014.
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Abstract

Knowledge of the variations of renal vascular anatomy has importance in exploration and treatment of renal trauma, renal transplantation, renal artery embolization, surgery for abdominal aortic aneurysm and conservative or radical renal surgery. The present case shows bilateral     duplication of renal artery in 60-year-old male cadaver during routine dissection of abdomen. On right side, the first renal artery was arising from abdominal aorta just below the origin of superior mesenteric artery. The artery was running laterally for a distance of 6 cm and reached the hilum of right kidney. The second renal artery was also taking origin from abdominal aorta 2 cm below the origin of superior mesenteric artery at the level of L1 vertebra, proceeding laterally and also entered the hilum of right kidney. On left side, the first renal artery was taking origin 1.5 cm below the origin of superior mesenteric artery from abdominal aorta while the second renal artery was arising from abdominal aorta at the level of L3 vertebra. Both the arteries were running laterally to enter the hilum of left kidney.

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References

1. Singh G, Ng YK, Bay BH. (1998) Bilateral accessory renal arteries associated with some anomalies of the ovarian arteries – a case study. Clin Anat 11:417-20. 2. Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM. (2001) Additional renal arteries: incidence and morphometry. Surg Radiol Anat 23:33-38. 3. Bordei P, Sapte E, Iliescu D. (2004) Double renal arteries originating from the aorta. Surg Radiol Anat 26:474-9. 4. Kadir S. (1991) Kidneys. In: Kadir S, ed. Atlas of normal and variant angiographic anatomy. Philadelphia: W.B. Saunders Company; 387-429. 5. Khamanarong K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K. (2004) Anatomy of renal arterial supply. Clin Anat 17:334-336. 3 6. Sampaio FJ, Passos MA. (1992) Renal arteries: anatomic study for surgical and radiological practice. Surg Radiol Anat 14:113-117. 7. Boijsen E. (1997) Anomalies and malformations. In: Baum S, ed. Abrams’ angiography. 4th ed. Philadelphia: Little, Brown and Company, 1217-1229. 8. Kadir S. (1986) Angiography of the kidneys. In: Kadir S, ed. Diagnostic angiography. Philadelphia, Saunders, 445–495. 9. Rusu MC. (2006) Human bilateral doubled renal and testicular arteries with a left testicular arterial arch around the left renal vein. Rom J Morphol Embryol. 47: 197–200. 10. Janschek Ec, Rothe Au, Hölzenbein Tj, Langer F, Brugger Pc, Pokorny H, Domenig Cm, Rasoulrockenschaub S, Mühlbacher F. (2004) Anatomic basis of right renal vein extension for cadaveric kidney transplantation, Urology, 63(4):660–664. 11. Saldarriaga B, Pérez Af, Ballesteros Le. (2008) A direct anatomical study of additional renal arteries in a Colombian mestizo population, Folia Morphol (Warsz), 67(2):129–134. 12. Ozkan U, Oğuzkurt L, Tercan F, Kizilkiliç O, Koç Z, Koca N. (2006) Renal artery origins and variations: angiographic evaluation of 855 consecutive patients, Diagn Interv Radiol, 12(4):183–186. 13. Nayak S. (2006) Common celiaco-mesenterico-phrenic trunk and renal vascular variations, Saudi Med J, 27(12):1894–1896.

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References

1. Singh G, Ng YK, Bay BH. (1998) Bilateral accessory renal arteries associated with some
anomalies of the ovarian arteries – a case study. Clin Anat 11:417-20.
2. Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM. (2001)
Additional renal arteries: incidence and morphometry. Surg Radiol Anat 23:33-38.
3. Bordei P, Sapte E, Iliescu D. (2004) Double renal arteries originating from the aorta. Surg
Radiol Anat 26:474-9.
4. Kadir S. (1991) Kidneys. In: Kadir S, ed. Atlas of normal and variant angiographic anatomy.
Philadelphia: W.B. Saunders Company; 387-429.
5. Khamanarong K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K. (2004) Anatomy
of renal arterial supply. Clin Anat 17:334-336.

3
6. Sampaio FJ, Passos MA. (1992) Renal arteries: anatomic study for surgical and radiological
practice. Surg Radiol Anat 14:113-117.
7. Boijsen E. (1997) Anomalies and malformations. In: Baum S, ed. Abrams’ angiography. 4th
ed. Philadelphia: Little, Brown and Company, 1217-1229.
8. Kadir S. (1986) Angiography of the kidneys. In: Kadir S, ed. Diagnostic angiography.
Philadelphia, Saunders, 445–495.
9. Rusu MC. (2006) Human bilateral doubled renal and testicular arteries with a left testicular
arterial arch around the left renal vein. Rom J Morphol Embryol. 47: 197–200.
10. Janschek Ec, Rothe Au, Hölzenbein Tj, Langer F, Brugger Pc, Pokorny H, Domenig Cm,
Rasoulrockenschaub S, Mühlbacher F. (2004) Anatomic basis of right renal vein extension
for cadaveric kidney transplantation, Urology, 63(4):660–664.
11. Saldarriaga B, Pérez Af, Ballesteros Le. (2008) A direct anatomical study of additional renal
arteries in a Colombian mestizo population, Folia Morphol (Warsz), 67(2):129–134.
12. Ozkan U, Oğuzkurt L, Tercan F, Kizilkiliç O, Koç Z, Koca N. (2006) Renal artery origins
and variations: angiographic evaluation of 855 consecutive patients, Diagn Interv Radiol,
12(4):183–186.
13. Nayak S. (2006) Common celiaco-mesenterico-phrenic trunk and renal vascular variations,
Saudi Med J, 27(12):1894–1896.

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