Shahian D M, Najafi H, Javid H, Hunter J A, Goldin M D, Monson D O
Arch Surg. 1980 Dec;115(12):1491-7. doi: 10.1001/archsurg.1980.01380120059014.
From 1970 to 1978, 39 patients underwent simultaneous aortic and renal artery reconstruction. Of these, 37 had severe single or bilateral renal lesions in combination with an aortic aneurysm, or symptomatic or asymptomatic aortoiliac disease. Two patients had renal arteries that originated from an abdominal aortic aneurysm. Thirty-two patients were hypertensive, one had chronic renal failure, and three others had asymptomatic renal lesions that were bypassed prophylactically. Operations performed included aortic replacement plus: single renal graft; bilateral renal grafts; renal graft plus contralateral nephrectomy; and renal graft plus mesenteric revascularization. All early postoperative deaths (four) occurred in patients with aneurysmal disease. Twenty-nine patients were available for long-term evaluation. In patients who were hypertensive preoperatively, 64.0% experienced long-term cure or improvement. Cardiac and cerebral disease, lower extremity claudication, and the need for subsequent cardiovascular surgery occurred with substantial frequency during the follow-up period.
1970年至1978年期间，39例患者接受了主动脉和肾动脉同期重建手术。其中，37例患有严重的单侧或双侧肾脏病变，并伴有主动脉瘤，或有症状或无症状的主髂动脉疾病。2例患者的肾动脉起源于腹主动脉瘤。32例患者患有高血压，1例患有慢性肾衰竭，另外3例有无症状的肾脏病变，为预防性搭桥。实施的手术包括主动脉置换加：单肾移植；双侧肾移植；肾移植加对侧肾切除术；肾移植加肠系膜血管重建。所有术后早期死亡病例（4例）均发生在患有动脉瘤疾病的患者中。29例患者可进行长期评估。术前患有高血压的患者中，64.0%实现了长期治愈或病情改善。在随访期间，心脏和脑部疾病、下肢跛行以及后续心血管手术的需求频繁出现。
