Abstract
The management of any intrarenal vascular malformation requires precise radiologic identification of the type, location, and size of the lesion in addition to knowledge of its natural history. With few exceptions, surgical correction of these lesions should be performed at the time of diagnosis. A surgical technique utilizing transabdominal exposure, hilar dissection, selective hypothermia, and Doppler localization is outlined that should allow repair of most of these lesions with maximum renal preservation.
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