Emergency hepato-renal artery bypass using a PTFE graft.
A 51-year-old patient suffering from Buerger's disease with bilateral lower limb amputation and Leriche syndrome presented with uncontrollable hypertension and renal failure caused by right renal artery subocclusive stenosis associated with an occluded left renal artery and atrophic kidney. He underwent a right hepato-renal bypass grafting using an externally supported polytetrafluorethylene (PTFE) graft. Renal function improved markedly and hypertension could be controlled by standard antihypertensive treatment. Normal right renal function was maintained at one-year follow-up.
Stillaert
Ph
P
University Clinics of Mont Godinne (Université Catholique de Louvain), 1 av Therasse, 5530 Yvoir, Belgium.
Louagie
Y
Y
Donckier
J
J
D000792:Angiography; D001672:Biocompatible Materials / Q000627:therapeutic use*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007925:Leriche Syndrome / Q000150:complications; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D012077:Renal Artery / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D051437:Renal Insufficiency / Q000209:etiology; D013919:Thromboangiitis Obliterans / Q000150:complications; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene