title: [Occlusion of Peripheral Bypass - Changing of an Institutional Paradigm].
abstract: The vast majority of renovascular hypertension is treated nowadays resorting to endovascular procedures (angioplasty/stenting). We report a case of malignant hypertension derived from bilateral ostial renal artery occlusion with unfit anatomy for endovascular correction. The patient maintained assymptomatic with controlled arterial tension at the thirteenth yeah of follow-up, due to a splenorenal bypass. A review of the literature and this surgery indications is discussed.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular do Hospital de S. João, Serviço de Radiologia do Hospital Geral de Santo António, Unidade de Medicina Geral e Familiar (ULS) do Alto Minho e Departamento de Anatomia da Faculdade de Medicina da Universidade do Porto, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Rocha-Neves
authors.forename: Carlos
authors.initials: C
authors.lastname: Macedo
authors.forename: Mário
authors.initials: M
authors.lastname: Vieira
authors.forename: João
authors.initials: J
authors.lastname: Santos
authors.forename: Emílio
authors.initials: E
authors.lastname: Silva
authors.forename: José
authors.initials: J
authors.lastname: Teixeira