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August 25, 1969

Thoracic Origin of a Single Renal Artery

Author Affiliations

George Washington University Hospital Washington, DC

JAMA. 1969;209(8):1223. doi:10.1001/jama.1969.03160210055019

To the Editor:—  The renal arteries typically arise between the midportion of the first lumbar vertebral body and the upper third of the second.1-4 Variations of approximately one vertebral body in either direction are well known. To the best of our knowledge, only one case of a single renal artery is reported arising above the level of the 12th thoracic vertebra,5 accompanied by a normal contralateral renal artery. In the present case, single right renal artery arose at the level of the 11th thoracic vertebra, with agenesis of the left kidney, the only example reported so far as we know.

Report of a Case.—  A 40-year-old Negro woman entered the hospital for investigation of discomfort of several weeks' duration in the left lower quaddrant of the abdomen. Intravenous urography demonstrated a normal right kidney and collecting system; however, the left kidney was not visualized. Cystoscopic examination and retrograde