Fibromuscular Dysplasia in a Renal Artery and Hypertension
Author Information
Author(s): Zeina Abdel-Rauf, Vladimir Wolfson, Barmeir Elisha
Primary Institution: Bnai-Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel
Hypothesis
Can fibromuscular dysplasia in an accessory renal artery cause renovascular hypertension?
Conclusion
Fibromuscular dysplasia in an accessory renal artery can cause renovascular hypertension, and selective renal angiography is the best test for diagnosis.
Supporting Evidence
- The patient had a history of intractable hypertension for a year.
- Selective renal angiography revealed a typical 'string of beads' appearance characteristic of fibromuscular dysplasia.
- Following angioplasty, the patient's blood pressure normalized using a single antihypertensive medication.
Takeaway
Sometimes, a problem in a kidney artery can make your blood pressure really high, but fixing it can help you feel better.
Methodology
Selective renal angiography was performed to diagnose the condition, followed by percutaneous balloon dilatation of the stenotic lesion.
Limitations
The study is based on a single case report, which limits the generalizability of the findings.
Participant Demographics
A 35-year-old female with a history of intractable hypertension.
Digital Object Identifier (DOI)
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