0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Occlusion of the Artery to a Solitary Kidney Restoration of Renal Function After Prolonged Anuria

Stewart P. Smith Jr., MD; Richard J. Hamburger, MD; John P. Donohue, MD; Clarence E. Grim, MD
JAMA. 1974;230(9):1306-1307. doi:10.1001/jama.1974.03240090046027.
Text Size: A A A
Published online

THE renal arteries are considered end arteries, and the occlusion of a main renal artery or one of its branches causes renal infarction and loss of function. We report a case in which thrombosis of the renal artery to a solitary kidney occurred, and surgical repair 48 hours after occlusion was successful in restoration of renal function. This suggests that collateral flow communicates with the renal microvasculature, and continued renal viability in cases of progressive main renal artery occlusion is possible.

Report of a Case  A 52-year-old white woman had a 20-year history of hypertension. In 1971, nonfunction of the right kidney was shown with renal scan. A subsequent angiogram showed no visualization of the right main renal artery. Renal vein renin activity measured by radioimmunoassay was 167 ng/ml/3 hr from the right renal vein and 74 ng/ml/3 hr from the left renal vein. Subsequently, a right nephrectomy showed that

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();