Renal artery stenosis of atherosclerotic etiology – the single kidney surgical recurrence 12 years after nephrectomy
| Autor: | Alexandru Minca, Secţia de Nefrologie, Spitalul Universitar de Urgenţă, Bucureşti, Mihai Ovidiu Comşa, Dializă, Spitalul Universitar de Urgenţă, Bucureşti, Secţia Nefrologie, Cezara Vicol, Centrul de Dializă, Spitalul Judeţean de Urgenţă, Deva, Marcel Pălămar, Alexandra Maria Limbau, Alexandru Ciprian Boţocan, Alexandru Diaconescu, Maria Daniela Tanasescu, Mădălina Frântu, Clinica de Nefrologie, Spitalul Clinic de Urgenţă „Sfântul Ioan', Bucureşti, Bucureşti Universitatea de Medicină şi Farmacie „Carol Davila', Dorin Ionescu |
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| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Romanian Medical Journal. 63:251-254 |
| ISSN: | 2069-606X 1220-5478 |
| Popis: | Objectives. Renal artery stenosis, as main cause of renovascular secondary hypertension, is mainly caused by atherosclerosis of large vessels and is clinically characterized by resistant or malignant hypertension, impacting the kidney function to various degrees. The present article brings into attention the case of a patient which developed renal artery stenosis on the left kidney, the same condition occurring 12 years later on the right kidney. Material and method. Our patient was initially diagnosed at the age of 48 with complete occlusion of the left renal artery, for which left nephrectomy was performed, while the right artery was normal. Twelve years later she presents with renal artery stenosis on the right kidney, which is treat by stent-angioplasty. Results. After surgery, the patient’s evolution was positive, with amelioration of the laboratory values, in parallel to the arterial blood pressure. Discussions. The probability that, in the moment of diagnosis of renal artery stenosis with progressive evolution to occlusion caused by atherosclerosis, the other artery would be normal, both seen by ultrasonography and angiography, while years later to develop stenosis, is minimal. Up to present, the literature holds little evidence of such similar cases. Conclusions. In the particular case of patients that were diagnosed with severe renal artery stenosis of atherosclerotic origin and had only one of the arteries affected, it is necessary to keep a permanent monitoring, justified by the risk of development of the same pathology to the other artery |
| Databáze: | OpenAIRE |
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