SPLENORENAL BYPASS IN TREATMENT OF STENOSIS OF RENAL-ARTERY

Abstract

The over-all results obtained with splenorenal bypass in the treatment of 32 patients with renovascular hypertension were 17 patients cured, 9 patients improved and 6 failures. Improved results were noted when splenorenal bypass was performed in relation to specific operative indications. The results were somewhat better for men than for women; however, poor results were obtained in children. Intraoperative and early postoperative complications were minimal, and there were 2 post-operative deaths. Late complications were limited to stenoses of the splenic artery graft which developed in 3 patients. When performed in relation to specific clinical and operative indications, splenorenal bypass represents an excellent means of achieving safe and effective renal revascularization.