Emergency gastroduodenal-renal artery bypass. An extra-anatomic approach for salvage of the solitary kidney
Perler, B.A.
American Surgeon 53(11): 679-681
1987
ISSN/ISBN: 0003-1348 PMID: 3688666 Document Number: 305064
A 68-year-old woman had acute anuric renal failure and congestive heart failure. Angiography demonstrated occlusion of the renal artery to the known solitary right kidney and severely ulcerative aortic arteriosclerosis. She underwent an emergency gastroduodenal-renal artery saphenous vein bypass graft with almost immediate restoration of urine output and eventual dramatic improvement in renal function. She remains well two years postoperatively. This is the first report of gastroduodenal-renal bypass performed in the emergency setting for salvage of a solitary kidney.