EXPERIMENTAL AND CLINICAL HEPATORENAL BYPASS AS A MEANS OF REVASCULARIZATION OF THE RIGHT RENAL-ARTERY

  • 1 January 1979
    • journal article
    • research article
    • Vol. 148  (4) , 557-561
Abstract
In patients with severe atherosclerosis of the abdominal aorta or previous operations on the abdominal aorta, right renal revascularization may be difficult using aortorenal bypass. The efficacy of hepatorenal bypass as an alternative operative procedure is demonstrated in dogs. Follow-up studies in these dogs showed no adverse postoperative effects on hepatic function or morphology. Two patients underwent hepatorenal bypass with a saphenous vein graft as surgical treatment for azotemia and hypertension caused by atherosclerotic right renal artery stenosis. Postoperatively, blood pressure diminished and renal function improved in both patients. No evidence of persistent hepatic dysfunction was observed.