Reno-mesentero-aorto-iliac thromboendarterectomy in patient with malignant hypertension

Abstract

1. 1. A case is documented in which there was complete occlusion of the left renal artery and partial occlusion of the right renal and superior mesenteric arteries, complicating extensive aortoiliac thrombosis. 2. 2. The patient presented with malignant hypertension, intermittent claudication, and abdominal complaints suggestive of "intestinal angina." 3. 3. Treatment consisted of thromboendarterectomy of all involved vessels, following which the patient became normotensive and had cessation of the abdominal symptoms. 4. 4. The case is thought to be the first successful bilateral simultaneous renal endarterectomy, and the third successful case of superior mesenteric endarterectomy. © 1959