[Renal hypertension. A case report - therapeutic dilemmas]

Kardiol Pol. 2009 Jun;67(6):663-5, discussion 666.
[Article in Polish]

Abstract

Hypertension associated with fibromuscular dysplasia of renal artery is the most common form of secondary hypertension among young patients. In this article we present a case of a 27-year-old patient, with drug-resistant hypertension. Stenosis of right renal artery and small right kidney were found on ultrasonography, angio-CT and angiography. There was no sign of renal atrophy therefore we performed percutaneous transluminal angioplasty. After the procedure we observed a decrease in blood pressure and no need to use hypertensive medication. Diagnosis and treatment of this condition are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography
  • Angioplasty, Balloon
  • Aspirin / administration & dosage
  • Clopidogrel
  • Drug Resistance
  • Drug Therapy, Combination
  • Humans
  • Hypertension, Renal / diagnosis*
  • Hypertension, Renal / etiology
  • Hypertension, Renal / therapy*
  • Kidney / abnormalities*
  • Kidney / diagnostic imaging
  • Male
  • Platelet Aggregation Inhibitors / therapeutic use
  • Renal Artery Obstruction / complications*
  • Renal Artery Obstruction / diagnosis*
  • Ticlopidine / analogs & derivatives
  • Ticlopidine / therapeutic use
  • Ultrasonography

Substances

  • Platelet Aggregation Inhibitors
  • Clopidogrel
  • Ticlopidine
  • Aspirin