title: [Surgical treatment of a patient with occlusion of the main trunk of the renal artery of the solitary kidney].
abstract: Presented herein is a clinical case report of successful stagewise surgical treatment of a patient with atherosclerotic occlusion of the main trunk of the renal artery of the single kidney. Clinically, the patient had signs of ischaemic renal disease in the form of pronounced azotemia being characteristic of the terminal stage of renal insufficiency, as well as malignant arterial hypertension. Besides, the patient had previously endured ischaemic stroke in the vertebrobaslar basin. The patient was subjected to stagewise surgical intervention, i.e., stenting of the upper-pole renal artery followed by open operation--prosthetic repair of the left renal artery with a synthetic prosthesis. Three months thereafter, the patient underwent carotid endarterectomy and operation of transposition of the subclavian artery. The postoperative period turned out uneventful. Currently, no progression of azotemia is observed, neither are there any indications for carrying out restorative therapy of the renal function.
authors.affiliation: Chair and Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia.
authors.forename: A N
authors.initials: AN
authors.lastname: Vachev
authors.affiliation: Chair and Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia.
authors.forename: E V
authors.initials: EV
authors.lastname: Frolova
authors.affiliation: Chair and Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia.
authors.forename: V V
authors.initials: VV
authors.lastname: Sukhorukov
authors.affiliation: Chair and Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia.
authors.forename: D R
authors.initials: DR
authors.lastname: Sakhipov
authors.affiliation: Chair and Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia.
authors.forename: E V
authors.initials: EV
authors.lastname: Kamenev
mesh_terms: D000792:Angiography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000379:methods; D006801:Humans; D006974:Hypertension, Malignant / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D051437:Renal Insufficiency / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome