[Autologous renal transplantation for renovascular hypertension (author's transl)].

Renovascular hypertension was diagnosed in a 20-year-old man as being due to bilateral renal-artery stenoses and infrarenal aortic coarctation. Reconstruction of the renal arterial supply by vein graft and aortorenal bypass failed to reduce the hypertension. But after bilateral autotransplantation of the kidneys into the iliac fossa and a dacron lay-on graft over the coarcted region the arterial blood pressure returned to normal. Pre-operative measurement of plasma-renin concentration in renal vein blood and the patient's age are essential factors in deciding on reconstructive surgery of a stenosed renal artery.