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RESULTS OF SURGICAL TREATMENT OF RENOVASCULAR HYPERTENSION

A series of 19 patients with renovascular hypertension detected by rapid sequence pyelography, renal vein renin assay, divided function studies and arteriography received surgical treatment in the four‐and‐a‐half year period from February, 1968, to September, 1973. Revascularization by autotransplantation of the kidney or by splenorenal anastomosis was performed in 14 cases, but nephrectomy was required in the remaining five. Eight of the 19 patients can be regarded as cured, and 10 have shown significant improvement. Three of the patients had major impairment of renal function, and marked improvement after revascularization was achieved in two of this group. The remaining patient died from myocardial infarction in the immediate postoperative period.