Autotransplantation and stent implantation for bilateral renal artery fibromuscular dysplasia

A 36-yr-old male was found to have renovascular hypertension due to an occl uded right renal artery and 70% stenosis in the left renal artery, caused b y fibromuscular dysplasia. The right kidney was supplied by collateral bloo d flow, and secreted more renin than the left kidney. Two differential ther apeutic approaches were taken: autotransplantation for the right kidney and percutaneous transluminal renal angioplasty followed by stent implantation for the left. The renovascular hypertension was treated with these therapi es, preserving renal function in this patient.