Serrallach N, Solé-Balcells F, de Torres J A, de Blas A, Serrate R, Brulles A
Eur Urol. 1975;1(2):78-80.
Investigation in a patient aged 46 years with decompensated heart failure and severe renal insufficiency demonstrated a small, poorly functioning right kidney and severe stenosis of the left renal artery. Cardiac decompensation was corrected and the left kidney revascularised by autotransplantation. Renal function recovered considerably (FG 75/min) and the severe hypertension was reduced. In hypertension patients by main renal artery stenosis, renal autotransplantation is recommended, since it is a safe method without technical difficulty and has given good results. The mutual dependence of hypertension and renal insufficiency is reviewed. When renal function is poor, revascularisation of the stenosed kidney will lead to recovery. The hypertension will usually improve but will always become more responsive to drug therapy.
对一名46岁失代偿性心力衰竭和严重肾功能不全患者的检查发现，右肾较小且功能不佳，左肾动脉严重狭窄。心脏失代偿得到纠正，左肾通过自体移植实现血管重建。肾功能显著恢复（肾小球滤过率75毫升/分钟），严重高血压得到缓解。对于主要由肾动脉狭窄引起的高血压患者，建议进行肾自体移植，因为这是一种安全且无技术难度的方法，并且已取得良好效果。本文综述了高血压与肾功能不全的相互依存关系。当肾功能不佳时，对狭窄肾脏进行血管重建将导致肾功能恢复。高血压通常会改善，并且对药物治疗的反应性也会增强。
