[Thromboendarterectomy of the aorta and renal arteries in vaso-renal hypertension].

Based on the clinical experience with 309 operations performed for the renal arteries pathology indications to and pecularities of various modifications of the operation are analysec. According to the authors' data the specific weight of thrombendarterectomy made 42.9%. The technic of transaortic eversion thrombendarterectomy from the renal artery by means of a posterior arciform seems to be preferable. As evidenced by the authors' findings transarterial methods of thrombendarterectomy proved to be a failure. The technic of thrombectomy from the aorta and renal artereis ostia in a high ascending thrombosis of the aorta is discussed in detail. More frequently reconstructive procedures for the associated pathology of the abdominal aorta and its branches have been performed. During 73 operations totally 106 kidneys were revascularized. It is emphasized that this technic of renal arteries plasty is one of basic importance in surgery for vasorenal hypertension, but it should not be opposed to other methods of an operative correction of the renal circulation.