Perry M O, Silane M F
Arch Surg. 1984 Jun;119(6):681-5. doi: 10.1001/archsurg.1984.01390180047008.
Sixty patients who had primary aortic disease (aortic stenosis or aneurysm) and required simultaneous aortic and renal artery operations were divided according to the indications for renal artery repair as follows: group 1, renovascular hypertension (ten patients); group 2, kidney salvage (11 patients); group 3, improvement of renal function (three patients); and group 4, renal artery involvement in the diseased aorta (36 patients). Renal artery reimplantation and aortorenal grafting were usually employed. Two kidneys in the renal salvage group failed, and two main and three accessory arteries were found to be occluded on late follow-up. Three patients died after emergency surgery for aneurysm rupture (two patients) and infected false aneurysm (one patient). The mortality rate for combined operations is higher (5%) than for aortic or renal surgery alone, but simultaneous repair may be needed for technical reasons, or to treat renovascular disease.
60例患有原发性主动脉疾病（主动脉狭窄或动脉瘤）且需要同时进行主动脉和肾动脉手术的患者，根据肾动脉修复指征分为以下几组：第1组，肾血管性高血压（10例患者）；第2组，肾脏挽救（11例患者）；第3组，肾功能改善（3例患者）；第4组，肾动脉受累于病变主动脉（36例患者）。通常采用肾动脉再植术和主动脉-肾移植术。肾脏挽救组中有两个肾脏功能丧失，后期随访发现两条主肾动脉和三条副肾动脉闭塞。3例患者在因动脉瘤破裂（2例患者）和感染性假性动脉瘤（1例患者）进行急诊手术后死亡。联合手术的死亡率（5%）高于单纯主动脉或肾脏手术，但由于技术原因或治疗肾血管疾病的需要，可能仍需同时进行修复。
