An Unusual Case of Resistant Hypertension Secondary to Fibromuscular Dysplasia

An Unusual Case of Resistant Hypertension Secondary to Fibromuscular Dysplasia

A 28-year-old woman with resistant hypertension was given a diagnosis of fibromuscular dysplasia with 100% occlusion of a right renal artery branch supplying an atrophied lower pole, collateralized by the right adrenal artery. Successful adrenal collateral coil embolization restored normotension, bu...

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Bibliographic Details
Main Authors: Waleed Ali, MD, Sandeep Nathan, MD, MS, Brian Funaki, MD, Scott Eggener, MD, George Bakris, MD
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:JACC: Case Reports
Subjects:
arterial embolization
fibromuscular dysplasia
partial nephrectomy
resistant hypertension
Online Access:http://www.sciencedirect.com/science/article/pii/S266608492031055X
Description
Summary:A 28-year-old woman with resistant hypertension was given a diagnosis of fibromuscular dysplasia with 100% occlusion of a right renal artery branch supplying an atrophied lower pole, collateralized by the right adrenal artery. Successful adrenal collateral coil embolization restored normotension, but hypertension recurred, necessitating right partial heminephrectomy with blood pressure normalization off medications. (Level of Difficulty: Intermediate.)
ISSN:2666-0849

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