PURPOSE: We undertook this study to assess the outcome of spontaneous dissection of the renal artery and its branches surgically treated with extracorporeal reconstruction and autotransplantation. SUBJECTS: Between 1975 and 1996, 15 consecutive @entity1 (19 kidneys) with spontaneous @entity8 underwent renal artery reconstruction. Fourteen @entity1 had accelerated @entity101 . Five @entity1 had @entity8 . In 14 @entity1 the dissection was associated with @entity5323 , and in 1 @entity1 it was related to @entity4288 . INTERVENTION: In 17 kidneys extracorporeal reconstruction and autotransplantation was used. The renal artery of 1 kidney was reconstructed in situ. One primary nephrectomy was performed. RESULTS: There were no operative deaths or major morbidity. All but 1 reconstruction was successful (94.4%). Results at follow-up (range, 1-8 years) were favorable in 14 @entity1 ; 79% had satisfactory blood pressure control, and all @entity1 had normal renal function, including those with @entity8 preoperatively. CONCLUSIONS: Extracorporeal reconstruction and autotransplantation can be effectively used in @entity1 with spontaneous @entity8 located in or extending into the distal branches. Early recognition and appreciation of the clinical presentation of spontaneous @entity8 are important.

XXXX : long-term results of extracorporeal reconstruction and autotransplantation1.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal artery dissection', 'impaired renal function'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity5323 :: ('MESH:D009221', 'Disease') :: ['fibrodysplasia'] @entity4288 :: ('MESH:D001161', 'Disease') :: ['arteriosclerosis']
@entity8 :: (MESH:D007674,Disease) :: ['Spontaneous dissection of renal artery']
