Van Walleghem J, Schwilden E, Van Dongen R J
Acta Chir Belg. 1976 Sep;75(5):544-50.
Renovascular hypertension caused by renal artery stenosis was a coincidental discovery in 5 of the 6 patients presented. They did not have any comlaint and it was by routine bloodpressure measurement that hypertension was diagnosed. In one patient without hypertension stenosis of both renal arteries was seen on the aortography for an infrarenal aortic occlusion. Depending on the extent and localisation of the stenosis unilateral renal artery stenosis was treated by a saphenous vein graft interposition, or by an aortorenal vein patch. In a man with bilateral renal artery stenosis a venous bridge was constructed. Once an unilateral nephrectomy was necessary, the kidney being atrophic and a vascular correction impossible.
在报告的6例患者中，有5例由肾动脉狭窄引起的肾血管性高血压是偶然发现的。他们没有任何不适症状，高血压是通过常规血压测量诊断出来的。1例无高血压患者在进行肾下主动脉闭塞的主动脉造影时发现双侧肾动脉狭窄。根据狭窄的程度和部位，单侧肾动脉狭窄采用大隐静脉移植术或主动脉-肾静脉补片治疗。1例双侧肾动脉狭窄患者构建了静脉桥。一旦需要进行单侧肾切除术，是因为患肾萎缩且无法进行血管矫正。
