Alnahhal Khaled I, Jarmi Tambi, Hakaim Albert G, Farres Houssam
Division of Vascular Surgery, Department of Surgery, Mayo Clinic Florida, Jacksonville, Fla.
Division of Transplant Nephrology, Department of Internal Medicine, Mayo Clinic Florida, Jacksonville, Fla.
J Vasc Surg Cases Innov Tech. 2021 Mar 2;7(2):223-225. doi: 10.1016/j.jvscit.2021.02.010. eCollection 2021 Jun.
This case describes a 72-year-old woman with a history of chronic kidney disease stage III presented with bilateral renal artery stenosis with a progressively atrophied right kidney. At the time of surgery, the atrophied kidney was nonfunctional. Therefore, the patient underwent unilateral renal artery revascularization via the inferior mesenteric artery as an inflow. A 7-year follow-up revealed improvement in the kidney function and stabilization of blood pressure, which was controlled with less number of antihypertensive medications. In brief, open surgical correction of the renal artery stenosis using the inferior mesenteric artery as an inflow source can retrieve renal function in selected hypertensive patients with ischemic nephropathy.
该病例描述了一名72岁患有III期慢性肾病的女性，出现双侧肾动脉狭窄且右肾逐渐萎缩。手术时，萎缩的肾脏已无功能。因此，该患者通过肠系膜下动脉作为流入血管进行了单侧肾动脉血运重建。7年的随访显示肾功能有所改善且血压稳定，所需降压药物数量减少。简而言之，以肠系膜下动脉作为流入源进行开放手术矫正肾动脉狭窄，可使部分患有缺血性肾病的高血压患者恢复肾功能。
