Skip to main content
SpringerLink
Log in

Bipolar supernumerary renal artery

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The variations of renal arteries are considered critical issues that surgeons should have thorough envision and appreciation of the condition. Variations of these vessels may influences urological, renal transplantation and laparoscopic surgeries. We present a case of bilateral accessory renal artery with a striking pre-hilar branching pattern encountered upon digital subtraction angiography (DSA) for imaging of the renal arteries of a healthy 30-year-old man, renal transplant donor. The right kidney received two renal arteries from the aorta including a main hilar and one lower polar. However, the left accessory artery while originated from the aorta, simultaneously, supplied both upper and lower renal poles following its pre-hilar division that replaced upper/apical and lower segmental arteries of the single main renal artery, respectively. The left main renal artery divided into two anterior and posterior segmental arteries. Whether this should be categorized either as an accessory hilar artery or a unique variant of renal arterial supply, the so-called bipolar supernumerary renal artery, is a matter of debate. We discuss possible embryologic origin and clinical aspects of accessory renal artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Anson BJ, Cauldwell EW, Pick JW, Beaton LE (1947) The blood supply of the kidney, suprarenal gland, and associated structures. Surg Gyn Obst 84:313–320

    Google Scholar 

  2. Anson BJ, Cauldwell EW, Pick JW, Beaton LE (1948) The anatomy of the pararenal system of veins, with comments on the renal arteries. J Urol 60:714–737

    Google Scholar 

  3. Arey LB (1965) Developmental anatomy. WB Saunders Co, Philadelphia, pp 365–368

    Google Scholar 

  4. Bordei P, Sapte E, Iliescu D (2004) Double renal arteries originating from the aorta. Surg Radiol Anat 26:474–479

    Article  PubMed  CAS  Google Scholar 

  5. DeBeer P (1966) The renal arteries in the South African Bantu-speaking Negro. S Afr J Med Sci 31:67–81

    CAS  Google Scholar 

  6. Felix W (1912) The development of the urogenital organs. In: Keibel F, Mall FP (eds) Manual of human embryology. Lippincott & Crowell, Philadelphia, pp 752–979

    Google Scholar 

  7. Gillaspie C, Miller L, Baskin M (1916) Anomalous renal vessels and their surgical significance. Anat Rec 11:77–86

    Article  Google Scholar 

  8. Graves FT (1956) The aberrant renal artery. J Anat 90:553–558

    PubMed  CAS  Google Scholar 

  9. Gray GM (1906) Multiple renal arteries. Anat Anz 29:266–270

    Google Scholar 

  10. Khamanarong K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K (2004) Anatomy of renal arterial supply. Clin Anat 17:334–336

    Article  PubMed  CAS  Google Scholar 

  11. Lippert H, Pabst R (1985) Arterial variation in man, classification and frequency. J.F. Bergman Verlag, Munchen

    Google Scholar 

  12. Merklin RJ, Michels NA (1958) 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 29:41–76

    PubMed  CAS  Google Scholar 

  13. Moon I, Kim Y, Park J, Kim S, Koh Y (1998) Various vascular procedures in kidney transplantations. Transplant Proc 30:3006

    Article  PubMed  CAS  Google Scholar 

  14. Ockerblad NF (1952) Aberrant renal arteries which in themselves produce pain. J Urol 67:810–814

    PubMed  CAS  Google Scholar 

  15. Sanudo J, Vazquez R, Puerta J (2003) Meaning and clinical interest of the anatomical variations in the 21st century. Eur J Anat 7(Suppl 1):1–3

    Google Scholar 

  16. 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

    Article  PubMed  CAS  Google Scholar 

  17. Singh G, Ng YK, Bay BH (1998) Bilateral accessory renal arteries associated with some anomalies of the ovarian arteries: a case study. Clin Anat 11:417–420

    Article  PubMed  CAS  Google Scholar 

  18. Sykes D (1963) The arterial supply of the human kidney with special reference to accessory renal arteries. Br J Surg 50:368–374

    PubMed  CAS  Google Scholar 

  19. Urban BA, Ratner LE, Fishman EK (2001) Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications. Radiographics 21:373–386

    PubMed  CAS  Google Scholar 

  20. Willam PL, Humpherson JR (1999) Concepts of variation and normality in morphology: important issues at risk of neglect in modern undergraduate medical courses. Clin Anat 12:186–90

    Article  Google Scholar 

  21. Woolf AS, Yuan HT (2003) Development of kidney blood vessels. In: Vize PD, Woolf AS, Bard JB (eds) The kidney from normal development to congenital disease. Academic Press, China, pp 251–266

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology and Angiography, Tabriz University of Medical Sciences, Tabriz, Iran

    Abolhassan B. Shakeri & Farshad Seyednejad

  2. Department of Cell Biology, Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA

    R. Shane Tubbs

  3. Department of Anatomical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran

    Mohammadali M. Shoja, Ramin M. Farahani & Amir A. Khaki

  4. Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Parham Pezeshk

  5. Department of Medicine, St. Mary’s Hospital, Yale University School of Medicine, Waterbury, CT, USA

    Fatemeh Ezzati

  6. No 9, Bonbast-e-Jhaleh, Qatran-e-Shomaly Ave, Tabriz, 51738, Iran

    Mohammadali M. Shoja

Authors
  1. Abolhassan B. Shakeri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Shane Tubbs
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohammadali M. Shoja
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Parham Pezeshk
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ramin M. Farahani
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Amir A. Khaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Fatemeh Ezzati
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Farshad Seyednejad
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mohammadali M. Shoja.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shakeri, A.B., Shane Tubbs, R., Shoja, M.M. et al. Bipolar supernumerary renal artery. Surg Radiol Anat 29, 89–92 (2007). https://doi.org/10.1007/s00276-006-0158-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-006-0158-0

Keywords

Search

Navigation