Saccular renal artery aneurysm as a cause of hypertension

The case of a patient with renovascular hypertension related to an arterial kink is reported. The arterial kink was caused by a renal artery aneurysm and was not apparent with angiography. This is the first reported case in which renin-mediated hypertension was clearly related to a correctable mecha...

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Bibliographic Details
Published inSurgery Vol. 97; no. 4; p. 498
Main Authors Youkey, J R, Collins, Jr, G J, Orecchia, P M, Brigham, R A, Salander, J M, Rich, N M
Format Journal Article
LanguageEnglish
Published United States 01.04.1985
Subjects
Aneurysm - complications
Aneurysm - surgery
Female
Follow-Up Studies
Humans
Hypertension, Renovascular - blood
Hypertension, Renovascular - etiology
Middle Aged
Radiography
Renal Artery - diagnostic imaging
Renal Artery - pathology
Renal Artery - surgery
Renin - blood
Saphenous Vein - transplantation
Torsion Abnormality
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Summary:The case of a patient with renovascular hypertension related to an arterial kink is reported. The arterial kink was caused by a renal artery aneurysm and was not apparent with angiography. This is the first reported case in which renin-mediated hypertension was clearly related to a correctable mechanical problem from a saccular renal artery aneurysm. Indications for surgical repair of renal artery aneurysms and angiographic findings indicative of a functionally significant renal artery stenosis are reviewed.
ISSN:0039-6060