(Disclaimer: This article is only for popularization purposes, in order to protect the privacy of the patients, the following content of the relevant information has been processed) Abstract: Patient Sun aunt, 69 years old. In more than 20 years appeared without cause blood pressure rise, accompanied by paroxysmal dizziness discomfort symptoms, by oral antihypertensive drugs effect is good, half an hour ago appeared symptoms aggravation, so come to our hospital, after examination diagnosed as renal artery aneurysm, after the right renal artery aneurysm embolization as well as medication, the patient’s condition is basically stable. Basic information] Female, 69 years old [Disease type] Renal artery aneurysm (right renal artery aneurysm) [Hospital] The First Affiliated Hospital of Xi’an Jiaotong University [Time of consultation] February 2022 [Treatment plan] Surgery (embolization of right renal artery aneurysm) + oral medication (terazosin hydrochloride tablets, compound lisinopril amphotericin tablets) [Treatment cycle] Hospitalization for 14 days, with regular follow-ups in the hospital [Treatment effect]. The disease was basically stabilized, the renal artery aneurysm was removed, and the blood pressure was restored to a stable level. I. Initial Consultation When I first saw the patient, he was in a clear state of mind with a painful face. He reported that his blood pressure had risen without any cause more than 20 years ago, with a maximum blood pressure of 200/100 mmHg, accompanied by paroxysmal dizziness and discomfort, and not accompanied by nausea and vomiting, and was controlled by taking antihypertensive medication. Half an hour ago, he came to our hospital with elevated blood pressure and transient dizziness, and was given a basic physical examination, which showed that his blood pressure was 210/110 mmHg. CT scanning examination of the kidney showed that the right renal artery bifurcation showed limited widening of about 1.2 cm, with calcification of the tubular wall, and low-density filling defects in the tubular lumen, and the kidneys could be in good sizes and morphologies, and there was no obvious abnormal reinforcement foci. Preliminary diagnosis was renal artery aneurysm (right renal artery aneurysm), and the patient was admitted to the hospital for treatment. After the patient was admitted to the hospital, the necessity of surgery and drug treatment as well as the related risks were communicated with the patient, and after obtaining the consent, firstly, Terazosin hydrochloride tablets and Compound Lisdexamfetamine tablets were given to lower blood pressure, and at the same time, blood routine and drug sensitivity test were also given to the patient, which showed that it was in line with the criteria for surgery. On the fourth day of admission, right renal artery aneurysm embolization was performed under local anesthesia, during which the right renal artery was entered via the femoral artery, and arteriography and embolization were performed; the surgical procedure went smoothly, and a drainage tube was left in place. After the operation, the patient returned to the ward and was given absolute bed rest, during which the kidney was closely observed and no bleeding symptoms were observed. After the operation, the color of the drainage fluid gradually became lighter, and the drainage tube was removed. The patient did not have any adverse reactions after the operation, and was discharged from the hospital on the 14th day after the patient’s condition had improved and the control of blood pressure was more stable. The patient’s blood pressure was basically stabilized after taking antihypertensive drugs regularly for 3 days. On the 1st postoperative day, the patient’s vital signs were stable, dizziness was reduced compared with the previous symptoms, and the drainage fluid was lighter in color. On the 7th postoperative day time, all the uncomfortable symptoms disappeared, and the treatment of removing the drainage tube was given. On the 10th postoperative day, i.e., 14 days after admission, the patient’s postoperative wound healed well, with no other discomforts, and the blood pressure was controlled at the normal level, the treatment effect was more satisfactory, and the patient was discharged from the hospital. Fourth, the precautions The patient after surgery, drug treatment, the condition has been significantly improved, I also feel happy for her. In order to get a better and faster recovery, I advise the patient to pay attention to the following points: 1, the patient needs to avoid heavy physical labor for 3 months after the operation, and avoid external impacts on the waist, so as not to affect the postoperative recovery; 2, the patient was discharged from the hospital to give a low-salt, semi-liquid, high-fiber food, such as celery, millet porridge, etc., and to ensure that the amount of drinking water every day, to keep the bowels clear and avoid constipation; After discharge from the hospital, patients still need to take antihypertensive drugs regularly, so as to avoid fluctuation of blood pressure level, which may cause damage to the kidneys. V. Personal perception Renal artery aneurysm belongs to a kind of relatively common visceral vascular tumor, with hidden onset and inconspicuous early symptoms. As in this case, the patient may only show symptoms of elevated blood pressure at the beginning, and with the progression of insufficient arterial perfusion, symptoms such as dizziness and chest tightness appeared. Fortunately, the patient’s prognosis after treatment was good, without serious adverse consequences. Once the patient is discharged from the hospital, if the elevated blood pressure occurs again, it should be taken seriously, and the patient should actively go to the hospital, undergo the appropriate examinations to clarify the diagnosis, and then be given treatment.