[Reconstructive operations in surgical treatment of vasorenal hypertension].
The experience of 313 reconstructive operations performed in 289 patients with renovascular hypertension is analysed. The importance of choosing the surgical procedure with due regard of the etiology and extent of the pathological process is emphasized. The most effective and frequently employed reconstructive procedures consisted in the author's original technique of transaortic endarterectomy (232 operations), resection of the renal artery with reimplantation of the ostium into the aorta (19 operations), renal artery resection with an end-to-end anastomosis (23 operations). In cases of bilateral lesions of the renal arteries two-stage procedures are recommended, spaced 3-4 months apart. Reconstructive interventions on the single renal artery are described.
D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery; D001807:Blood Vessel Prosthesis; D001808:Blood Vessels / Q000637:transplantation; D002648:Child; D004691:Endarterectomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology / Q000601:surgery*; D007668:Kidney / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000601:surgery; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous
Rekonstruktivnye operatsii pri khirurgicheskom lechenii vazorenal'noĭ gipertonii