AI Article Synopsis

  • Sometimes, alternative sources for blood flow to the kidneys are needed when standard surgical options are not suitable due to severe aorta issues.
  • A 46-year-old man was experiencing severe high blood pressure and kidney failure due to occlusion of the celiac axis from a worsening condition despite prior surgery 5 years earlier.
  • The surgery involved using imaging techniques, which revealed a possibility to restore kidney blood flow by successfully angioplastying and placing a stent in the severely narrowed superior mesenteric artery, resulting in improved kidney function and blood pressure control.

Article Abstract

An alternative source of visceral arterial inflow is sometimes necessary for renal revascularization when aortorenal endarterectomy or bypass is inappropriate due to severely diseased aorta. We report the case of a 46-year-old male with recurrent intractable renovascular hypertension in renal failure secondary to occlusion of the celiac axis due to progression of aortoarteritis following splenorenal arterial bypass performed 5 years before. Aortogram visualized intestinal arterial arcade supporting patent bypass with critically stenosed superior mesenteric artery. Successful angioplasty with stenting of superior mesenteric artery restored adequate renal flow through the bypass leading to recovery and easy control of hypertension.

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http://dx.doi.org/10.1016/s1010-7940(03)00611-0DOI Listing

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