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Autotransplantation of the Kidney for Fibromuscular Dysplasia of the Renal Arteries
Author(s) -
BALL S. G.,
GILES G. R.,
MCLACHLAN M. S. F.,
LEE M. R.
Publication year - 1976
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1976.tb03005.x
Subject(s) - fibromuscular dysplasia , medicine , renovascular hypertension , autotransplantation , nephrectomy , renal artery , kidney , renal vein , surgery , renal artery obstruction , transplantation , renal artery stenosis
The role of renovascular surgery in the treatment of hypertension has recently become more clearly defined. This has followed to a large extent the development of new techniques which allow the selection preoperatively of patients whose hypertension can be cured by surgery. Identification of a functionally significant lesion in a renal artery usually leads to its correction by reconstruction of the abnormal vessel or, in the presence of extensive disease, nephrectomy. We present a patient in whom reversal of hypertension was correctly predicted preoperatively by using renal vein renin ratios. Since extensive bilateral renal arterial disease prevented conventional surgery in this patient, autotransplantation of the right kidney was carried out as an alternative procedure ( Lancet , 1975).