A case of poorly controlled renovascular hypertension and worsening renal insufficiency in a patient with prior aortic aneurysm replacement and a hepatic artery stenosis was treated with bilateral extraanatomic renal revascularization utilizing the celiac artery as an inflow. Three years following revascularization, her blood pressure is well controlled and her renal function is stable. Renal revascularization using the celiac trunk as an inflow source has not been previously reported. This case demonstrates that the celiac artery can be used for bilateral renal artery revascularization if the hepatic or splenic arteries are found to be inadequate as an inflow source.
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