Graft-renal bypass surgery during intraoperative dissection of renal artery in a patient with high occlusion of the aorta

Osipova O.S., Starodubtsev V.B., Bugurov S.V., Gostev A.A., Saaya Sh.B., Cheban A.V., Karpenko A.A.

Department of Vascular Pathology and Hybrid Surgery, National Medical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia

Despite advances in the development of endovascular techniques of revascularization of renal arteries, in certain clinical cases still remains the need to perform extra-anatomic renal bypass grafting. To such instances belong complicated atherosclerotic aortic lesions, technical difficulties occurring during open revascularization of the aorta and its branches, as well as aneurysms of the juxtarenal portion of the abdominal aorta.

Presented herein is a clinical case concerning a patient subjected to non-standard restoration of blood flow in the right renal artery after thromboendarterectomy from the juxtarenal aorta, performed from the left-sided extraperitoneal phrenolumbotomic approach and complicated by secondary dissection of the intima in the right renal artery.

KEY WORDS: renal arteries, renal artery bypass grafting, graft-renal bypass surgery, high aortic occlusion.

P. 157

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