Novick A C, Palleschi J, Straffon R A, Beven E
Surg Gynecol Obstet. 1979 Apr;148(4):557-61.
In patients with severe atherosclerosis of the abdominal aorta or previous operations on the abdominal aorta, right renal revascularization may be difficult to achieve using aortorenal bypass. An experimental study was performed demonstrating the efficacy of hepatorenal bypass as an alternative operative procedure in this regard. Follow-up studies in these dogs demonstrated no adverse postoperative effects on hepatic function or morphology. In addition, two patients underwent hepatorenal bypass with a saphenous vein graft as surgical treatment for azotemia and hypertension caused by atherosclerotic right renal artery stenosis. Postoperatively, the blood pressure diminished and renal function improved in both patients. No evidence of persistent hepatic dysfunction was observed.
对于腹主动脉严重动脉粥样硬化或曾接受腹主动脉手术的患者，使用主动脉 - 肾动脉旁路术可能难以实现右肾血管重建。进行了一项实验研究，证明了肝 - 肾动脉旁路术作为这方面替代手术方法的有效性。对这些犬的随访研究表明，术后对肝功能或形态没有不良影响。此外，两名患者接受了用大隐静脉移植物进行的肝 - 肾动脉旁路术，作为由动脉粥样硬化性右肾动脉狭窄引起的氮质血症和高血压的手术治疗。术后，两名患者的血压均下降，肾功能均得到改善。未观察到持续性肝功能障碍的证据。
