Femorofemoral Bypass Graft Improves Malignant Hypertension Secondary to Common Iliac Artery Occlusion in a Renal Transplant Recipient

An atherosclerotic lesion in the aortoiliac vasculature proximal to the anastomosis of a transplant renal artery is a rare cause of refractory hypertension. The authors describe a renal recipient who developed refractory hypertension secondary to common iliac artery occlusion proximal to a transplant renal artery. A femorofemoral reconstruction resulted in dramatic improvement in hypertension. Femorofemoral reconstruction for revascu larization of a transplant renal artery has not been previously described in the literature.