Aorto-Renal Artery reconstruction for renvoascular Hypertension Due to takayasu's disease.
10.4326/jjcvs.21.496
- VernacularTitle:高安動脈炎に伴う腎血管性高血圧に対する腹部大動脈‐腎動脈バイパス術
- Author:
Yasuyuki SUZUKI
;
Hiroshi IJIMA
;
Naotaka ATSUMI
;
Tomoaki JIKUYA
;
Yuzuru SAKAKIBARA
;
Tatsuo TSUTSUI
;
Toshio MITSUI
;
Motokazu HORI
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(5):496-500
- CountryJapan
- Language:Japanese
-
Abstract:
Thirty-nine years old woman had a severe renovascular hyper-tension with Takayasu's arteritis Her left renal artery stenosis was treated with percutaneous transluminal angioplasty (PTA) three times. Six months after the third PTA, the left renal artery was occluded, and left renal failure occurred. Aorto-renal bypass surgery with a prosthetic graft was performed. Blood pressure dropped to normal range, and left renal function began to recover. Although PTA is an effective method in the treatment of renovascular hypertension, an incidence of restenosis after PTA is higher in Takayasu's arteritis rather than atherosclerotic lesions. Five months after renal revascularization, hypertension recurred in this case. However the aorto-renal bypass graft was patent accompanied by no symptoms. This aorto-renal bypass surgery can be considered effective in this condition.
