RENAL REVASCULARIZATION IN PATIENTS WITH SEVERE ATHEROSCLEROSIS OF ABDOMINAL-AORTA OR A PREVIOUS OPERATION ON ABDOMINAL-AORTA

  • 1 January 1977
    • journal article
    • research article
    • Vol. 144  (2) , 211-218
Abstract
Renal revascularization was performed in 6 patients in whom severe atherosclerosis or previous operative procedures on the abdominal aorta precluded the performance of a standard aortorenal bypass graft. Splenorenal anastomoses were performed in 3 patients, superior mesenterorenal anastomosis in 1 patient, long saphenous vein iliorenal anastomosis in 1 patient, and renal autotransplantation in 1 patient. Successful renal revascularization with preservation of renal function was accomplished in all patients. The natural history of severe atherosclerotic renovascular disease demonstrated the relatively frequent occurrence of arterial thrombosis and renal failure in patients with solitary kidneys. Occasionally, the presence of severe aortic disease precludes the use of standard aortorenal bypass grafting. Alternate methods of revascularization are available whereby renovascular hypertension can be corrected and renal function preserved, with minimal operative risk.

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