[The surgical treatment of vasorenal hypertension]

Reconstructive procedures of renal arteries are routinely advocated for patients presenting documented renovascular hypertension (RVH). It is the purpose of this study to analyze experience had to date, and the results of operative reconstruction of 52 arteries in forty-seven patients, covering a 10-year period. Twenty-seven patients are operated on for RVH. In fourteen patients simultaneous procedures are performed for occlusive disease of the abdominal aorta, three patients are operated simultaneously--ACB, and two--carotid arteries. Aorto-renal bypass is the procedure of choice. In 11 patients TEA is performed for renal artery stenosis. In 45 patients (95.7 per cent) there is a significant improvement of hypertension, and in none of them is renal function lost postoperatively. Hospitalization is prolonged because of postoperative bleeding--two cases, and diffuse peritonitis--one patient, dying in the early postoperative period. Experience with the operative management of RVH shows that operative reconstruction of renal arteries is a method of choice in selected patients, and its indications may be extended to patients undergoing vascular reconstruction of the abdominal aorta.