ABSTRACT
This is a report of 7 cases of renal vascular hypertension. In 4 of these 7 cases, the diagnosis was not even thought of and was made only at autopsy. Among the three correctly diagnosed patients, one was a 26 year-old woman with an aneurysm of the left renal artery which was resected followed by renal artery replacement with a Dacron prosthesis graft with alleviation of her hypertension. The second was a 20 year-old female medical student with extreme hypoplasia at the left renal artery and kidney. Nephrectomy cured her hypertension. The third was a 19 year-old female with bilateral renal artery obstruction at their origins from the aorta. Surgical relief was obtained by endarterectomy and widening of renal artery origin using Dacron patchesThe clinical picture, useful laboratory aids, indications for aortography, surgical anatomy, physiology, surgical procedures, histology, and results of others are cited and discussed. (Summary)
ABSTRACT
Fifty-six patients with various types of congenital cardiovascular disorders are presented and thoroughly analyzed as regard their clinical features, surgical considerations, operative results and prognosis. Indications and contraindications for operation are given and the various surgical techniques are briefly discussed. The results in general are encouraging, a favorable outcome depending on the careful cardiologic and surgical evaluation of the individual case and the choice of the proper technique. This report is the experience of one surgeon whose practice is limited to surgery of the cardiovascular system. (Summary)