Renal autotransplantation seems to be of great value as a means of renal revascularization in hypertension of renovascular origin, especially in those cases in which the preceding angioplastic procedures have resulted in failure. It is also applicable as a primary procedure for those in whom the revascularization in situ is considered to be technically difficult because of the severity and extension of the vascular lesion. The two cases of renovascular hypertension reported here were treated by renal autotransplantation to the ipsilateral iliac fossa subsequent to unsuccessful revascularization in situ. The transplanted kidneys are functioning normally and the patients have remained normotensive for fourteen and twenty months, respectively. A brief reference was made regarding the management of the ureter in renal autotransplantation.

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