Transposition of the right renal artery to gastroduodenal artery for management of acute, symptomatic renovascular hypertension.

Renovascular hypertension can be clinically challenging to diagnose. The most common etiology remains atherosclerotic disease. When medical management fails, renal artery revascularization is considered. Since the advent of endovascular interventions and the outcomes of CORAL (Benefits of Medical Therapy Plus Stenting for Renal Atherosclerotic Lesions), surgical management of renal artery stenosis has shown a decrease in prevalence. Our experience demonstrates a viable solution for patients requiring open surgery with limited inflow options.