Acute renal failure was preceded by prolonged bilateral renal ischemia in a fifty-four- year-old woman presenting with suprarenal abdominal aortic stenosis, severe systolic hypertension, and congestive heart failure. An axillofemoral bypass caused retrograde flow in the lower aorta and reestablished the perfusion of the renal arteries and the ischemic kidneys. This resulted in complete and immediate restoration of renal function and blood pressure even though the patient was anuric for four days prior to the procedure.
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