Ball S G, Giles G R, McLachlan M S, Lee M R
Br J Urol. 1976 Aug;48(4):227-30. doi: 10.1111/j.1464-410x.1976.tb03005.x.
A young man was discovered to have symptomless hypertension, which subsequently proved to be caused by fibromuscular dysplasia of the renal arteries. Arterial disease was present on both sides but was more severe on the right. Samples of blood were obtained by selective catheterisation of each renal vein for the determination of plasma renin activity. The renal venous renin was greater on the right than on the left (ratio greater than 1-5 to 1) and secretion of renin by the left kidney was suppressed. Autotransplantation of the right kidney to the left internal iliac artery lowered the blood pressure at once and it has remained normal for 6 months. The implications of this procedure for the management of a bilateral disorder of the renal arteries, such as fibromuscular dysplasia, are discussed.
一名年轻男性被发现患有无症状高血压，随后证实是由肾动脉纤维肌性发育不良引起的。双侧均存在动脉疾病，但右侧更为严重。通过对每条肾静脉进行选择性插管获取血样，以测定血浆肾素活性。右侧肾静脉肾素高于左侧（比率大于1.5比1），左肾的肾素分泌受到抑制。将右肾自体移植至左髂内动脉后，血压立即下降，且已维持正常6个月。本文讨论了该手术对肾动脉双侧疾病（如纤维肌性发育不良）治疗的意义。
