Acute Bilateral Renal Artery Occlusion

摘要: • Although acute renal artery occlusion usually leads to kidney necrosis, preexisting collateral vessels may occasionally preserve the organ long enough permit revascularization. This principle was demonstrated in a patient whom bilateral developed following repair of an aortoduodenal fistula. Approach aorta for primary revascularization interdicted by extensive scarring. Accordingly, successfully effected with use splenic and reversed saphenous vein grafts through extra-anatomic planes. experience demonstrates importance aggressive diagnostic therapeutic approach occlusion, as well usefulness large-caliber, lengthy, disease-free, dispensable source. (Arch Surg1981;116:1232-1235)