Background: Renal artery bypass surgery is rarely done for primary renal indication. The procedure is done usually as part of abdominal aortic surgery. This is the first case done at Philippine Heart Center (PHC) for renovascular hypertension.
Case: The patient is 30-year-old male known to have chronic refractory hypertension and had a failed percutaneous transfemoral renal angioplasty (PTRA) days earlier. He underwent renal artery bypass surgery using saphenous vein graft which relieved his hypertension.
Conclusion: Renal artery bypass surgery is a viable option to manage renovascular hypertension.