Brailovski Eugene, Steinmetz Oren K, Weber Catherine L
Faculty of Medicine, Undergraduate Program, McGill University, Montreal, Quebec, Canada.
Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada.
J Vasc Surg Cases Innov Tech. 2019 Apr 30;5(2):156-159. doi: 10.1016/j.jvscit.2018.10.010. eCollection 2019 Jun.
A young woman with Takayasu arteritis and complex renal artery stenosis in a solitary functional kidney underwent an ex vivo revascularization with autologous saphenous vein graft and renal autotransplantation. Before surgery, she had resistant hypertension and recurrent episodes of acute kidney injury. Two years later, her blood pressure is 123/77 mm Hg, and there have been no acute kidney injury episodes. Computed tomography scan demonstrates no abnormal thickening of the graft despite proximal progression of disease to involve the superior mesenteric artery. As Takayasu arteritis is a progressive disease, use of autologous vein graft, which is unlikely to become involved, is of paramount importance.
一名患有高安动脉炎且单功能肾存在复杂肾动脉狭窄的年轻女性接受了自体大隐静脉移植体外血管重建和肾自体移植手术。术前，她患有顽固性高血压且反复出现急性肾损伤发作。两年后，她的血压为123/77 mmHg，且未再出现急性肾损伤发作。计算机断层扫描显示，尽管疾病向近端进展累及肠系膜上动脉，但移植血管未出现异常增厚。由于高安动脉炎是一种进行性疾病，使用不太可能受累的自体静脉移植物至关重要。
