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She was deemed unsuitable to become a kidney donor, and her RAE was conservatively managed. This case highlights a unique presentation of asymptomatic RAE with concurrent renal arterial variants, underscoring the variable clinical presentation of RAE by the diaphragmatic crura and appropriate management.<\/jats:p>","DOI":"10.1136\/bcr-2025-269487","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T17:25:31Z","timestamp":1774977931000},"page":"e269487","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Median arcuate ligament compression of the renal artery"],"prefix":"10.1136","volume":"19","author":[{"given":"Caoimhe","family":"Provost","sequence":"first","affiliation":[{"name":"Vascular Surgery, Toronto General Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Toronto General Hospital, Toronto, Ontario, 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