Renal revascularisation by gastroduodenal-renal bypass as treatment of renal artery stenosis.
We report the case of a 63 year old hypertensive male who presented with acute renal failure following treatment of his hypertension with the ACE antagonist, captopril. He was documented to have bilateral renal artery stenosis, which was treated by left renal artery angioplasty and revascularisation of the right kidney by anastomosis of the right renal artery to the superior gastroduodenal branch of the hepatic artery. Postoperatively, he made an excellent recovery, with restoration of his renal function to normal and improved control of his hypertension.
Little
D M
DM
Department of Urology, Beaumont Hospital, Dublin.
Burke
P E
PE
O'Callaghan
J
J
Vella
J
J
Donoghue
J
J
Sami
T
T
Hickey
D P
DP
D058186:Acute Kidney Injury / Q000209:etiology; D000714:Anastomosis, Surgical; D000800:Angioplasty, Balloon; D004386:Duodenum / Q000098:blood supply; D006801:Humans; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000150:complications / Q000628:therapy*; D013270:Stomach / Q000098:blood supply; D014656:Vascular Surgical Procedures