Bilateral fibromuscular disease of the segmental renal arteries, producing severe renovascular hypertension, was surgically treated in a young male patient. The technique used was graduated internal dilatation of the involved segments. An excellent reduction in the blood pressure was obtained, and the patient remains normotensive 16 months postoperatively. The successful surgical result was documented by arteriography. This technique would appear to be the treatment of choice for this dysplasia involving the renal artery divisional branches.
Lamis PA, Stanton PE, Wilson JP, Letton AH. Fibromuscular Disease of the Segmental Renal ArteriesSurgical Treatment by Graduated Internal Dilatation. Arch Surg. 1973;106(1):109-111. doi:10.1001/archsurg.1973.01350130105025