Gruss J D, von Cube B, Bartels D
MMW Munch Med Wochenschr. 1975 May 2;117(18):759-62.
A 48-year old man with stenosis of the right renal artery and hypertension of the renal artery and hypertension of the renal vessels suffered an apoplectic insult under antihypertensive therapy. The cause of this insult was found to be an acute total occlusion of the right carotid artery. At the same time there were stenoses of the right vertebral, the left common carotid and the left internal carotid arteries. Thromboendarterectomy of the right internal carotid artery, subclavio-carotid bypass on the left and thromboendarterectomy of the left intenal carotid artery and aortorenal bypass on the right were performed one after the other. The blood pressure can be premanently lowered, neurological symptoms no langer appear and the patient is completely able to work again.
一名48岁男性,患有右肾动脉狭窄及肾血管性高血压,在接受抗高血压治疗期间发生了中风。发现此次中风的原因是右颈动脉急性完全闭塞。同时,右椎动脉、左颈总动脉和左颈内动脉也存在狭窄。先后进行了右颈内动脉血栓内膜切除术、左侧锁骨下-颈动脉搭桥术、左颈内动脉血栓内膜切除术以及右侧主动脉-肾动脉搭桥术。血压得以永久性降低,神经症状不再出现,患者完全能够重新工作。