THE CASE OF SUCCESSFUL RENAL REVASCULARIZATION BY THE METHOD OF AORTORENAL SHUNTING

Abstract

The article describes the case of successful revascularization of the right kidney by the method of autovenous aortorenal shunting. According to the data of renal duplex scanning, the patient showed signs of a size reducing of the right kidney with a decrease in blood flow velocity and resistance indices in the renal artery. Results of spiral computed tomography demonstrated the subtotal stenosis of the right renal artery up to 95% and preservation of the excretory function of the kidney. During the angiography an occlusion of the proximal segment of the right renal artery was detected, and an attempt of recanalization for subsequent stenting was failed. As a consequence, an open revascularization – autovenous aortorenal shunting was performed using laparotomy access. In the short- and mid-term periods, normalization of arterial pressure and satisfactory patency of the autovenous shunt were noted. In the opinion of the authors, in case of obliteration of the proximal segment of the renal artery caused by arteritis, open revascularization is a procedure of choice that provides radical restoration of the main blood circulation of the organ.

Keywords

• stenosis of the renal artery
• vasorenal hypertension
• aortorenal shunting.