Abstract

The paper presents a case of a 65 year old white male with atherosclerosis, severe left triple renal arteries stenoses and secondary renovascular hypertension (RVH). The patient was treated in a single session by percutaneous balloon angioplasty and stenting of the three left renal arteries with important atherosclerotic lesions. The uneventful evolution permitted patient's discharge next day after the intervention, with antihypertensive and antiplatelet therapy. The authors discuss successively the morphogenetic phenomena involved in multiple renal arteries apparition, the historical contribution of a Renascence anatomist to the description of renal blood supply variants and recent trends in atherosclerotic RVH (interventional versus medical approach).

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