Spontaneous renal artery dissection in a patient with contralateral renal artery stenosis: Treatment with percutaneous endovascular stent placement

Jung Cheng Hsu, Jen Yu Wang, Hsien Li Kao, Chia Hung Lu, Kao Lang Liu, Jiunn-Lee Lin

Research output: Contribution to journalArticle

Abstract

We report a 36-year-old man with poorly controlled hypertension, who suffered from acute deterioration and marked elevation of blood pressure. Abdominal bruit was heard in the right epigastric area. Renovascular hypertension was highly suspected. Spontaneous right renal artery dissection superimposing contralateral renal artery stenosis was found by computed tomography, and confirmed by conventional angiography. Percutaneous endovascular intervention was done successfully, with dramatic clinical improvement. Renovascular hypertension must be considered in patients with refractory hypertension. Better control of blood pressure, or even cure of hypertension, can be achieved with percutaneous endovascular intervention both in stenosis and dissection of renal arteries.

Original languageEnglish
Pages (from-to)229-233
Number of pages5
JournalActa Cardiologica Sinica
Volume21
Issue number4
Publication statusPublished - Dec 1 2005
Externally publishedYes

Keywords

  • Percutaneous endovascular revascularization
  • Renal artery dissection
  • Secondary hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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