Abstract
We report a case of renal failure due to occlusion of the bilateral renal artery resulting from an aneurysm of the abdominal aorta (AAA) in a patient who successfully re-gained renal function by surgical revascularization after 3 weeks of hemodialysis treatment. The patient, a 72-year-old woman, exhibited AAA and renal insufficiency. As her renal function worsened (Cr; 7.9mg/dl, BUN; 55.1mg/dl), she was referred to our department on March 19, 1996. Hemodialysis therapy was started on March 23.
Although the renal biopsy obtained on March 29 showed obsolescence of half of the glomeruli, the remaining glomeruli remained intact.
Eighteen days after the initiation of hemodialysis therapy, spleno-renal bypass was performed. The dialysis treatment was discontinued after surgery as her renal function gradually improved. The creatinine clearance at the time of discharge was 19.2ml/min. Our case suggests that ischemic renal failure due to renal artery occlusion is not irreversible even after induction of hemodialysis therapy if early diagnosis is made and prompt treatment is started.
