Abstract
Purpose
The aim of the present study was to determine the frequency of occurrence of multiple renal arteries in human fetuses.
Methods
Sixty kidneys from human fetuses (32 males and 28 females) were used, fixed and kept in 10% formol solution. The fetal age was estimated from the hallux–calcaneus length and ranged from 20 to 37 weeks of gestation, with a mean of 25.63 weeks. The renal arteries were dissected without the aid of optical instruments, and their number, length, topographical layout in relation to their origins in the aorta walls and distribution according to gender and kidney (left or right) were determined.
Results
Out of the 60 kidneys investigated, 78.33% had a single renal artery and 21.67% had multiple renal arteries. Most of the renal arteries emerged from the lateral wall of the aorta between the levels of the lower third of the twelfth thoracic vertebra and the upper third of the first lumbar vertebra. The length ranged from 0.15 to 1.5 cm and was slightly greater in females.
Conclusions
The frequency of findings of multiple renal arteries was 21.67%.
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References
Aubert J, Koumare K (1975) Variations of origin of the renal artery: a review covering 403 aortographies. Eur Urol 1(4):182–188
Awojobi OA, Ogunbiyi OA, Nkposong EO (1983) Unusual relationship of multiple renal arteries. Urology. 21(2):205–206
Beregi JP, Mauroy B, Willoteaux S, Mounier-Vehier C, Rémy-Jardin M, Francke J (1999) Anatomic variation in the origin of the main renal arteries: spiral CTA evaluation. Eur Radiol 9(7):1330–1334
Bordei P, Sapte E, Iliescu D (2004) Double renal arteries originating from the aorta. Surg Radiol Anat 26(6):474–479
Budhiraja V, Rastogi R, Asthana AK (2010) Renal artery variations: embryological basis and surgical correlation. Rom J Morphol Embryol 51(3):533–536
Bulić K, Ivkić G, Pavić T (1996) A case of duplicated right renal artery and triplicated left renal artery. Ann Anat 178(3):281–283
Çiçekcibaşi AE, Ziylan T, Salbacak A, Seker M, Büyükmumcu M, Tuncer I (2005) An investigation of the origin, location and variations of the renal arteries in human fetuses and their clinical relevance. Ann Anat 187(4):421–427
Deepthinath R, Satheesha Nayak B, Mehta RB, Bhat S, Rodrigues V, Samuel VP, Venkataramana V, Prasad AM (2006) Multiple variations in the paired arteries of the abdominal aorta. Clin Anat 19(6):566–568
Dhar P, Lal K (2005) Main and accessory renal arteries: a morphological study. Ital J Anat Embryol 110(2):101–110
Fine H, Keen EN (1966) The arteries of the human kidney. J Anat 100:881–894
Gościcka D, Szpinda M, Kochan J (1996) Accessory renal arteries in human fetuses. Ann Anat 178(6):559–563
Harrison LH Jr, Flye MW, Seigler HF (1978) Incidence of anatomical variants in renal vasculature in the presence of normal renal function. Ann Surg 188(1):83–89
Hollinshead WH (1966) Renovascular anatomy. Postgrad Med 40(3):241–246
Hollinshead WH (1971) The kidneys, ureters and suprarenal glands. Anatomy for surgeons, vol 2, 2nd edn. Harper & Row Plubishers, :–, New York, pp 518–568
Kabalin JN (2002) Surgical anatomy of the retroperitoneum, kidneys and ureters. In: Walsh PC, Retik AB, Vaughan ED, Jr Wein AJ. Campbell’s urology, 8th edn. WB Saunders, Philadelphia, pp 3–40
Kaneko N, Kobayashi Y, Okada Y (2008) Anatomic variations of the renal vessels pertinent to transperitoneal vascular control in the management of trauma. Surgery 143(5):616–622
Khamanarong K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K (2004) Anatomy of renal arterial supply. Clin Anat 17(4):334–336
Kosiński H (1994) Variability of places of origin of the human renal arteries. Folia Morphol (Warsz) 53(2):111–116
Kuczera M, Gajda G, Gielecki JS (2003) Digital analysis of the dynamics of the arterial supply to the human foetal kidneys. Folia Morphol 62(4):381–384
Olave E, Henríquez J, Puelma F, Cruzat C, Soto A (2007) Arterias renales mútiples. Int J Morphol 25(4):927–930
Ozan H, Alemdaroglu A, Sinav A, Gümüsalan Y (1997) Location of the ostia of the renal arteries in the aorta. Surg Radiol Anat 19(4):245–247
Özkan 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
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
Sampaio FJ, Passos MA (1992) Renal arteries: anatomic study for surgical and radiological practice. Surg Radiol Anat 14(2):113–117
Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs JV, Kalideen JM (2001) Additional renal arteries: incidence and morphometry. Surg Radiol Anat 23(1):33–38
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(6):417–420
Spanos PK, Simmons RL, Kjellstrand CM, Buselmeier TJ, Najarian JS (1973) Kidney transplantation from living related donors with multiple vessels. Am J Surg 125:554–558
Tanyeli E, Uzel M, Soyluoğlu AI (2006) Complex renal vascular variation: a case report. Ann Anat 188(5):455–458
Verschuyl EJ, Kaatee R, Beek FJ, Pasterkamp G, Bush WH, Beutler JJ, van der Ven PJ, Mali WP (1997) Renal artery origins: location and distribution in the transverse plane at CT. Radiology 203(1):71–75
Wozniak WT (2000) Origin of the renal arteries from sides of aorta. Folia Morphol (Warsz) 58(4):259–261
Acknowledgments
We thank Ailton Vieira Santos and Luis Carlos Ferreira São José, anatomy laboratory technicians in the Federal University of Sergipe and Tiradentes University, for their support in preparing the cadavers, since without their collaboration, this work could not have been accomplished.
Conflict of interest
The paper has not been submitted for publication elsewhere and all authors were fully involved in the study and preparation of the manuscript. There is no conflict of interest.
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Aragão, J.A., de Oliveira Pacheco, J.M., Silva, L.A. et al. Frequency of multiple renal arteries in human fetuses. Surg Radiol Anat 34, 133–136 (2012). https://doi.org/10.1007/s00276-011-0860-4
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DOI: https://doi.org/10.1007/s00276-011-0860-4