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KMID : 0364019920250020200
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 2 p.200 ~ p.204
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Bilateral Aorto-Renal Bypass -Report of One Case-
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윤영철
송정근/박철현/이신영/오상준/김창호
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Abstract
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A 63 year old male had suffered from hypertension and angina pectoris for 4 years. On physical examination, blood pressure was 150/110 mmHg with medication of antihypertensive drugs. Aortogram showed the stenosis of the left renal artery, the
complete
occlusion of the right renal artery, and atherosclerotic change of abdominal aorta. Blood urea nitrogen was 25 mg/dl, serum creatinine was 1.2mg/dl, and renin activity in peripheral blood was 8.7ng/ml/hour. The stenosis of left renal artery and
the
complete occlusion of right renal artery should have produced the renovascular hypertension.
Bilateral aorto-renal bypasses with saphenous grafts were done for treatment of renovascular hypertension. Postoperatively, blood pressure was normalized with only small dosage of antihypertensive drugs.
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KEYWORD
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