[Bilateral stenosis of the renal arteries: transaortic endarterectomy].
Transaortic renal endarterectomy with infra-renal aortic prosthetic graft may be used to treat combined aortic and renal atherosclerosis. We present herein the technics we used in seven patients, which represented 0.4% of our aortic revascularizations and 15% of our combined aortic and renal revascularizations. All these patients were hypertensive and four had a mild preoperative renal insufficiency. Post-operatively there were no death and the morbidity rate was 12%. Morphological assessment showed no renal or limb graft occlusion. During the follow-up there were three deaths, one limb graft occluded. All renal arteries remained patent with improvement of hypertension in 70% and stabilisation of the renal function in all. In carefully selected cases, transaortic renal endarterectomy is a safe and efficient method of treatment of combined aortic and renal atherosclerotic disease.
Becquemin
J P
JP
Service de Chirurgie Vasculaire, Hôpital Henri-Mondor, Créteil.
Cavillon
A
A
Haiduc
F
F
D000768:Anesthesia, General; D001011:Aorta; D004691:Endarterectomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D012078:Renal Artery Obstruction / Q000601:surgery*; D012189:Retrospective Studies
Sténoses bilatérales des artères rénales: endartériectomie transaortique.