Iliorenal bypass for the treatment of type-3 Takayasu's disease - A case report with 10-year follow-up

The case of a 16-year old female with severe renovascular hypertension resu lting from type-3 Takayasu's arteritis is reported. The entire thoracic and abdominal aorta was affected by an active inflammatory process and all its branches were stenotic or occluded After the early failure of a percutaneo us balloon angioplasty of the left renal artery, an iliac to renal artery b ypass graft using a reversed autologous saphenous vein was performed throug h a retroperitoneal tunnel. The patient is asymptomatic and the graft is pa tent at 10-year follow-up.