{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:28Z","timestamp":1756339528043,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,15]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>A boy in middle childhood with recurrent haematuria and refractory hypertension for 3.5 years was referred to our hospital with CT findings of a large right renal artery aneurysm. Following an unsuccessful endovascular intervention, a multidisciplinary team approach was set up, as well as a plan for right nephrectomy, complete excision of the aneurysm, reconstruction of the cut end of the branches of the renal artery using internal iliac artery (IIA) \u2018Y\u2019 graft followed by autotransplantation. The IIA \u2018Y\u2019 graft was then anastomosed with the external iliac artery, and the renal vein was anastomosed with the external iliac vein. Blood loss was minimal. Postoperatively, the patient had an uneventful recovery and was discharged on postoperative day 7 with restored renal anatomy, preserved normal renal mass and eliminated risk of rupture and aneurysmal complications. A follow-up at the end of 6 months showed improved quality of life; the child has been attending school, playing and living with a low dose of one antihypertensive medication.<\/jats:p>","DOI":"10.1136\/bcr-2025-265223","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T04:15:19Z","timestamp":1748924119000},"page":"e265223","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Kidney autotransplantation for renovascular hypertension due to hilar renal artery aneurysm: India\u2019s first in a child"],"prefix":"10.1136","volume":"18","author":[{"given":"Aishvary","family":"Gupta","sequence":"first","affiliation":[{"name":"Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9498-6744","authenticated-orcid":false,"given":"Manjunath Maruti","family":"Pol","sequence":"additional","affiliation":[{"name":"Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep Ramakrishnan","family":"Reddy","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7992-4772","authenticated-orcid":false,"given":"Mohammed","family":"Fawaz","sequence":"additional","affiliation":[{"name":"Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"2025082708453636000_18.6.e265223.1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1991.25647"},{"key":"2025082708453636000_18.6.e265223.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.08.099"},{"key":"2025082708453636000_18.6.e265223.3","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.ejvs.2022.01.015","article-title":"Renal Artery Repair with Kidney Autotransplantation for Renal Artery Aneurysms","volume":"63","author":"Ramouz","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025082708453636000_18.6.e265223.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.03.024"},{"key":"2025082708453636000_18.6.e265223.5","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.ejvs.2016.02.017","article-title":"Editor\u2019s Choice - Ex vivo Renal Artery Repair with Kidney Autotransplantation for Renal Artery Branch Aneurysms: Long-term Results of Sixty-seven Procedures","volume":"51","author":"Duprey","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025082708453636000_18.6.e265223.6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.avsg.2021.05.039","article-title":"Kidney Autotransplantation for Renal Artery Aneurysm: Case Series and a Systematic Review","volume":"77","author":"Contarini","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"2025082708453636000_18.6.e265223.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.08.009"},{"key":"2025082708453636000_18.6.e265223.8","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/HJH.0000000000003296","article-title":"Utilizing 3D printing to facilitate surgical in-situ paediatric renal artery aneurysm repair for refractory hypertension","volume":"41","author":"Chandak","year":"2023","journal-title":"J Hypertens"},{"key":"2025082708453636000_18.6.e265223.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70263-6"},{"key":"2025082708453636000_18.6.e265223.10","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(85)90090-4"},{"key":"2025082708453636000_18.6.e265223.11","first-page":"51","article-title":"Renal Artery Aneurysm in a 13-year-old Child","volume":"18","author":"Yeh","year":"2014","journal-title":"Child Kidney Dis"},{"key":"2025082708453636000_18.6.e265223.12","first-page":"42","article-title":"Modified ex-vivo repair of distal renal artery aneurysm in a pediatric patient","volume":"17","author":"Mead","year":"2018","journal-title":"Urol Case Rep"},{"key":"2025082708453636000_18.6.e265223.13","doi-asserted-by":"crossref","DOI":"10.1016\/j.epsc.2021.102007","article-title":"Renal artery aneurysm repair by auto-transplantation in a 4-year-old girl with renovascular hypertension","volume":"74","author":"Assia-Zamora","year":"2021","journal-title":"J Pediatr Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:45:45Z","timestamp":1756309545000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":13,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,2]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2025-265223"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265223","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}