Marquina M, García Soriano F, Esquivel P

Language: Spanish
References: 9
Page: 243-247
PDF size: 4255.33 Kb.

ABSTRACT

Background: Experiments with renovascular hypertension were carried out by Goldblatt in 1934. He demonstrated that arterial hypertension could be caused by occluding the renal artery in dogs, and thus the name renovascular hypertension was designated. Renal arteriography is the criterion standard for confirming renovascular hypertension.
Objective: To report a complex case of renovascular hypertension due to bilateral fibrodysplasia for which laparoscopic nephrectomy, external revascularization (bench surgery) and bilateral autotransplantation were carried out in two surgeries.
Case: Patient is an 18-year-old asymptomatic male with arterial hypertension due to bilateral renal artery stenosis. After the first autotransplantation, patient progression was adequate and was corroborated by kidney scintigram and Doppler ultrasound. The second autotransplantation had the same favorable results. Blood pressure was normal from June 2006 to September 2009 with no need for antihypertensive drugs. Pathology report stated tunica media fibroplasia.
Conclusions: A case of bilateral autotransplantation in a child with Takayasu disease was found in the Medline archive, but the nephrectomies were open surgeries. To the best of the authors’ knowledge the present report is the first on laparoscopic nephrectomy, bench surgery and bilateral autotransplantation.

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