高度の全身動脈硬化を伴う右腎動脈狭窄に対する自家腎移植術

Abstract

Right nephrectomy and resection of the stenotic le s ion in the right renal artery were performed to a patient having severe stenotic lesion at the orifice of the renal artery and general atherosclerosis. Immediately after the nephrectomy, the removed kidney was revascularized in the left iliacal fossa (autotransplantation). Following the operation, hypertension and right kidney function were markedly improved. This operation does not inflict any procedure to the aorta and anastomosis of vessels is rectilinear, end to end, so that the procedure may cause less complication and may prevent development of new atheromatic lesions in the renal artery. This operation may be a suitable procedure to the stenotic lesion of the renal artery with severe general atherosclerosis especially to the stenotic lesion of the right renal artery.