Premium
THE FATE OF THE LEFT KIDNEY AFTER END RENOSPLENIC SHUNT IN EXPERIMENTALLY INDUCED EXTRAHEPATIC PORTAL HYPERTENSION
Author(s) -
Solomon M. J.,
Stening M. R. G.,
Hargrave J. C.
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07423.x
Subject(s) - medicine , left renal vein , ligation , kidney , portal hypertension , renal vein , shunt (medical) , acute tubular necrosis , right gastric vein , surgery , inferior vena cava , portal venous pressure , cirrhosis
Extrahepatic portal hypertension was induced in the rabbit by a one‐stage complete ligation of the portal vein. End renal vein to side splenic vein shunts (renosplenic) were performed with haemorrhagic necrosis of the left kidney occurring after ligation of the left renal vein lateral to the adrenolumbar tributary. Thus the ureteric, lumbar, and pericapsular collaterals cannot adequately drain the left kidney. Ligation of the left renal vein on the medial side of the adrenolumbar tributary maintained a patent left renal vein in all cases with 60% of left kidney biopsies showing no histological evidence of changes to glomeruli or tubules, and the remainder showing early acute tubular necrosis.