THE CASE OF SUCCESSFUL RENAL REVASCULARIZATION BY THE METHOD OF AORTORENAL SHUNTING
Avicenna Tajik State Medical university, Dushanbe, Tajikistan
Public institution «Republican Scientific Center of Cardiovascular Surgery», Dushanbe, Tajikistan
Objective: The article describes the case of successful revascularization of the right kidney by the method of autovenous aortorenal shunting. According to the data of renal duplex scanning, the patient showed signs of a size reducing of the right kidney with a decrease in blood flow velocity and resistance indices in the renal artery. Results of spiral computed tomography demonstrated the subtotal stenosis of the right renal artery up to 95% and preservation of the excretory function of the kidney. During the angiography an occlusion of the proximal segment of the right renal artery was detected, and an attempt of recanalization for subsequent stenting was failed. As a consequence, an open revascularization – autovenous aortorenal shunting was performed using laparotomy access. In the short- and mid-term periods, normalization of arterial pressure and satisfactory patency of the autovenous shunt were noted. In the opinion of the authors, in case of obliteration of the proximal segment of the renal artery caused by arteritis, open revascularization is a procedure of choice that provides radical restoration of the main blood circulation of the organ.
Keywords: Stenosis of the renal artery, vasorenal hypertension, aortorenal shunting.
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Gaibov Alidjon Djuraevich, Doctor of Medical Sciences, Full Professor, Corresponding Member of Academy of Medical Sciences of Ministry of Health and Social Protection of Population of the Republic of Tajikistan, Professor at the Department of Surgical Diseases № 2 at Avicenna Tajik State Medical University
Nematzoda Okildjon, Candidate of Medical Sciences, Leading Researcher of the Republican Scientific Center of Cardiovascular Surgery
Sultanov Djavli Davronovich, Doctor of Medical Sciences, Full Professor, Professor at the Department of Surgical Diseases № 2 at Avicenna Tajik State Medical University
Gulmuradov Tashpulat Gulmuradovich, Doctor of Medical Sciences, Full Professor, Corresponding Member of Academy of Medical Sciences of Ministry of Health and Social Protection of Population of the Republic of Tajikistan, Research Supervisor of the Republican Scientific Center of Cardiovascular Surgery
Tohirov Firdavs Samievich, candidate for a degree at Republican Scientific Center of Cardiovascular Surgery
Address for correspondence:
Gaibov Alidjon Djuraevich
Doctor of Medical Sciences, Full Professor, Corresponding Member of Academy of Medical Sciences of Ministry of Health and Social Protection of Population of the Republic of Tajikistan, Professor at the Department of Surgical Diseases № 2 at Avicenna Tajik State Medical University
734003, Republic of Tajikistan, Dushanbe, Rudaki Avenue, 139
Tel.: (+992) 918 470017