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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 2  |  Page : 199-201

Hepatorenal bypass using autogenous, free internal iliac artery graft: An attractive alternative to revascularize the right kidney in Takayasu's disease


1 Department of Urology, PGIMER & Dr. Ram Manohar Lohia Hospital, New Delhi, India
2 Department of Surgery, AIIMS, New Delhi, India
3 Department of Cardiac Radiology, AIIMS, New Delhi, India

Correspondence Address:
Sandeep Guleria
Department of Surgery, AIIMS, New Delhi 110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.98466

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Nonspecific aortoarteritis or Takayasu's disease (TD) is a chronic pan endarteritis of unknown origin involving the aorta and its major branches affecting young adults especially women. The disease is more common in eastern Asian countries. Hypertension in these patients generally reflects as renal artery stenosis, which is seen in 28-75% of patients. Surgical revascularization is occasionally needed in patients with failed medical management or endovascular interventions. We report two cases of Takayasu's arteritis in young women where renal revascularization was done using free internal iliac artery hepatorenal bypass graft with excellent control of hypertension in the postoperative period.


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