In this paper we describe a case involving spontaneous dissection of the renal artery (DRA) successfully treated with an aorto-renal venous graft. DRA is a rare disorder which strikes men especially. Hypertension is the most frequent sign of its presence, which is usually of sudden onset, and with major adverse impact on the eye and brain. Arteriography is the key diagnostic examination. The most typical image is that of "cuffing". Treatment is surgical in nearly 50% of cases and should be as conservative as possible since these lesions may be bilateral.