J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2267KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 85(8): 849-854, 1984

Original article

RENOVASCULAR HYPERTENSION IN A PATIENT WITH A SOLITARY KIDNEY ASSOCIATED WITH RETROCAVAL URETER: A CASE REPORT

Second Department of Surgery, University of Tokyo, Tokyo, Japan

Kiyoshi Tanaka, Shigeo Akimoto, Tatsuya Kozuma, Osamu Sato, Tetsuro Miyata, Tetsu Oshima, Atsuhiko Takagi, Yusuke Tada, Yuji Maruyama, Tatsuo Wada

A case of renovascular hypertension in a patient with a congenitally solitary kidney associated with retrocaval ureter is reported. Aortorenal bypass with autogenous saphenous vein graft and concomitant mobilization of the ureter by division and reanastomosis of the inferior vena cava were performed. Pathogenesis of the stenotic lesion of the renal artery was fibromuscular dysplasia. Postoperative improvement of hypertension was not so good as expected. Soon after administration of nifedipine (20mg/day) was started, blood pressure decreased down to 130/80mmHg and has been well controlled. Problems regarding renovascular hypertension with a solitary kidney and surgical treatment of retrocaval ureter are discussed.

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