一位患高血壓的廿九歲女性被診斷為相當嚴重的腎動脈分枝阻塞,伴生豐富的側枝循環。高血壓可以用兩種藥物來控制,但是病人不願意每天服藥。利用切割下來的腹下動脈及其分枝,在病患體外的手術台先做顯微手術來取代狹窄的腎動脈及其分枝,再做自體腎肱移植。引起高血壓的病因是肌肉纖維性血管增生不良。病患的血壓在手術後十八個月仍保持正常。
Severe branch renal artery stenosis with prominent collateral circulation was diagnosed in a 29 year-old female patient presented with hypertension. Hypertension was controlled by two medications, but the patient could not tolerate taking medications daily. By using a hypogastric artery branched autogenous graft for the diseased portion of renal artery and its branches, bench surgery with a microscope for the branches followed by antotransplantation of kidney was performed. Fidromuscular dysplasia as the cause of hypertension was cured 18 months postoperation.