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Renal Survival After Renal Vein Ligation

Eduardo Gonzalez, MD; Elliot Leiter, MD; Edward E. Jemerin, MD; Herbert Brendler, MD
JAMA. 1967;200(3):259-261. doi:10.1001/jama.1967.03120160125030.
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THERE IS a widely held belief that sudden occlusion of a main renal vein invariably results in renal infarction and loss of the kidney. However, because of a rich collateral circulation, the left kidney may continue to function after renal vein ligation. This was first pointed out by Erlik et al1,2 and has been borne out by a patient recently studied by us. A review of the anatomy of the inferior vena cava and the renal veins as well as a review of the literature has shown that, under certain circumstances, renal survival can be expected after left main renal vein ligation.

Report of a Case  The patient (MSH-266140), a 49-year-old white man, was admitted to the Mount Sinai Hospital on Nov 26, 1964, with severe, sustained hypertension of four months' duration. His blood pressure was approximately 250/140 mm Hg and it was poorly controlled with antihypertensive medications. In


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