BACKGROUND: @entity751 ( @entity751 ) is a @entity395 characterized by segmental narrowing of the distal descending thoracic or abdominal aorta. @entity8 may also be affected to varying degrees. @entity751 is often associated with @entity2792 , and requires early intervention. When medical therapy and percutaneous interventions fail to control @entity101 , surgical treatment is required. We report a case of @entity751 that failed to respond to bilateral renal artery stenting, but treated with aortic bypass and orthotopic right renal autotransplantation with good outcome. CASE PRESENTATION: A 31-year-old @entity1 presented with @entity10 and poorly controlled @entity101 due to severe @entity751 . She had severe ostial stenoses of @entity8 . Her @entity101 failed to respond to medical therapy (four drugs) and bilateral renal artery stenting. The implanted stent in the right renal artery rendered revascularization of the artery difficult. A one-stage revascularization was performed, which consisted of an aortoaortic bypass (between the suprarenal and infrarenal abdominal aorta) with a prosthetic graft, an orthotopic right renal autotransplantation and an aorto-left renal arterial bypass with autogenous saphenous vein grafts. Her recovery was uneventful. At 1-year follow-up, the @entity1 remained well. Her @entity101 improved. A postoperative computed tomography angiography showed that all the grafts were patent with no abnormalities at the @entity254 . CONCLUSION: Multiple bypass surgery with reimplantation of autogenous vein graft onto the prosthetic graft is a feasible and effective procedure in renal artery revascularization for @entity751 . Orthotopic autotransplantation is the procedure of choice in complex renal artery reconstruction.

Aortic bypass and orthotopic right XXXX : a case report.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal and visceral arteries', 'Renal or visceral arteries'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity2792 :: ('MESH:D006978', 'Disease') :: ['renovascular hypertension'] @entity751 :: ('MESH:D013577', 'Disease') :: ['Midaortic syndrome', 'MAS'] @entity395 :: ('MESH:D035583', 'Disease') :: ['rare vascular anomaly'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache']
@entity8 :: (MESH:D007674,Disease) :: ['renal autotransplantation for midaortic syndrome']
