PMC420241_01
MRA of the left kidney showing at least two renal arteries with stenosis (black line).
1471-2369-5-5-1.jpg
PMC420241_01_1471-2369-5-5-1.jpg
F1
A magnetic resonance angiogram (MRA) of the kidneys revealed diminished blood flow to the left kidney with at least two stenotic arteries (Figure 1).
Renal angiogram of the left kidney with triple renal artery stenosis.
1471-2369-5-5-2.jpg
PMC420241_01_1471-2369-5-5-2.jpg
F2
The patient underwent a renal angiogram (Figure 2) along with percutaneous renal angioplasty.
Aorto-renal bypass: A. Triple (A, B, C) left renal artery stenoses B. Bifurcated left hypogastric artery autograft harvest C. A and B renal arteries spatulated and anastomosed D. Creation of a common renal artery E. End-end repair of left renal vein F. End-side anastomosis of the new renal artery and aorta.
1471-2369-5-5-3.jpg
PMC420241_01_1471-2369-5-5-3.jpg
F3
The surgical correction of triple RAS on the left kidney was performed ex-vivo while the kidney was in an ice-bath (Figure 3).
PMC420241_02