Reversible Renal Failure in an Elderly Woman With Renal Artery Stenosis

Successful Renal Autotrans-plantation with Y-Prosthetic Aortic Replacement in a Patient with Complete Occlusion of Abdominal Aorta and Renal Artery

“…Though the patient had these risk factors, the operation involving aortic replacement and renal autotransplanta tion have yielded satisfactory long-term results. Treat ment options for occlusive renal artery disease include surgical revascularization [5,[7][8][9], percutaneous translu minal angioplasty [6,10], or medical thrombolytic thera py [ 11], In recent years, the incidence and the success rate of surgical revascularization for preservation of renal function with advanced atherosclerotic renal artery dis ease have increased [12][13][14], and angioplasty has been performed sucessfully for restoring renal function in some cases [6,10], Three surgical interventions were available for renal revascularization in this case: thrombectomy and in situ repair (angioplasty), aortorenal or extra-ana tomical bypass, and autotransplantation. And finally, we selected renal autotransplantation because of avoiding the renal damage by long warm ischemic time for in situ intri cate revascularization, repairing and reconstructing dis eased renal artery correctly in bench surgery, existing no suitable anastomotic point of aorta or hepatic artery, and monitoring the transplanted kidney easily.…”