[Surgical treatment of active infectious endocarditis (8 cases)].
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Biomedical subjects
Publications and source records attributed to D Rosenthal.
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Aortorenal bypass procedures have utilized autogenous artery, vein, and synthetic materials in the surgical management of atherosclerotic renal artery occlusive disease. When concomitant bilateral renal artery and aortic occlusive disease is identified, transaortic bilateral renal artery endarterectomy and aortoiliac/femoral bypass grafting is a safe and simplified technique which does not share the attendant problem and technical difficulties of aortorenal bypass operations.
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In hypertensive emergencies the physician is obligated to reduce arterial pressure immediately. This is best done with intravenous antihypertensive agents. If renal artery occlusion is demonstrated and the patient is refractory to appropriate medications, renal artery reconstruction may be necessary. In the poor risk patient, an attempt at transcatheter thromboembolectomy may be worthwhile. If this maneuver is unsuccessful, emergent aorto-renal reconstruction is indicated. A case of bilateral renal artery thromboses causing a hypertensive crisis which was successfully managed by aorto-renal bypass grafting is reported.