Surgical treatment of renovascular disease: A 10-case report

ZUÑIGA JJ; KALBERMATTEN MM; HERNANDEZ MG; VIGLIANO CA; CANDIOTI MM; DOSSO N; ZAMBRANO A; GILBERT MD; COTTI CF; CARI A; DULBECCO E

CIRUGIA CARDIOVASCULAR

SOCIEDAD ESPAÑOLA DE CIRUGÍA CARDIOVASCULAR

Año: 2017 vol. 24 p. 274 - 278

1134-0096

Introductionand objectivesSurgicaltreatment of renal vascular pathology is still having favorable results when itis performed in selected patients. The aim of this study is to analyze 10 caseswith renovascular disease and its short and long-term outcomes.MethodsWeconducted a retrospective study with all the patients who had a diagnosis ofaneurysm and/or stenosis of the renal arteries (RA) that required surgicaltreatment from June 2000 to July 2015 in our centre. ResultsFrom 10patients, 90% were female, mean age 52±17 years. Ninety percent hadhypertension, 2 patients had history of chronic renal failure, and one case wasadmitted with acute renal failure. Five patients had muscular fibrodysplasia.Thirty percent were previously treated with stents in the RA, and another onehad a history of an aortic-renal bypass. In 6 cases surgery was performed usingthe saphenous vein as a graft for the bypass, and in one, the bypass was madewith an expanded polytetrafluoroethylene prosthesis. One patient had a RAplasty, and in 2 cases a nephrectomy was performed in order to resolve thepathology, and after that, the kidney was autotransplanted. Hospital stay was9.2±3.3 days and mean follow up time was 5.8±4.5 years. There were no deathsduring or after surgery. ConclusionsEven thoughendovascular treatment for renal artery disease is indicated in some scenarios,surgical treatment is still an option in selected patients with excellentresults