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Abstract
The development of knowledge about renovascular hypertension has demonstrated that
vascular reconstruction of diseased renal arteries can often alter the hypertensive
process. Atherosclerosis and fibromuscular hyperplasia are the most common causes
of stenotic or occlusive lesions of the renal arteries, but emboli, aneurysms, or
trauma may also produce this difficulty. Involvement of the vessels varies from a
short segmental narrowing to extensive disease of the artery and its branches. The
form of reconstruction utilized must be based on the disease present. The various
techniques available are discussed, and the autologous saphenous vein bypass graft
and the segmental resection with end-to-end anastomosis are described in detail. The
saphenous vein bypass graft is the most versatile and generally applicable technique
in use at the present time. Segmental resection with end-to-end anastomosis can be
perfomed in many patients with fibromuscular hyperplasia. These two procedures can
be satisfactorily utilized for most situations encountered in the surgical treatment
of renovascular hypertension.
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© 1965 Published by Elsevier Inc.
