BILATERAL STENOSIS OF THE RENAL-ARTERIES - MULTIPLE BYPASSES

Bilateral ostial renal arterial stenoses are in fact atheromatous lesi ons of the aortic wall. These anatomic features must be considered for the treatment of such lesions. It can be achieved by bilateral renal bypass grafting with the concomittant replacement of the aorta when ne cessary. This combined surgery carries a certain operative risk, which has been notably lowered with the recent advances in anaesthesiology and intensive care. We consider this combined renal and aortic surgery is easier and safer than transaortic endarterectomy.