Staged surgical treatment of vasorenal hypertension in the long-term period after repair of the thoracoabdominal aorta.
Presented herein are a rare clinical case and the results of successful staged surgical treatment of a patient with vasorenal hypertension, who had undergone repair of the thoracoabdominal aorta from the isthmus to the bifurcation with replantation of the intercostal, visceral and renal arteries according to Crawford. In the long-term period, the patient developed bilateral stenosis of two left and then of the right renal arteries. Correction of vasorenal hypertension required a special approach. In view of infeasibility of the use of the aorta for proximal anastomosis establishment (commissural process, deranged wall and graft) staged bypass grafting of two left and right renal arteries was performed.
Belov
Yu V
YV
Department of Surgery of Aorta and Its Branches, Russian Scientific Center of Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
Stepanenko
A B
AB
Gens
A P
AP
Radnaev
Ch D
ChD
Tikuev
A I
AI
D000328:Adult; D000714:Anastomosis, Surgical; D001012:Aorta, Abdominal / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D012720:Severity of Illness Index; D013997:Time Factors