Occurrence of renovascular hypertension in two sisters
| Autor: | Shinpei Morimoto, Tetsuji Hashiba, Ikuo Yamamoto, Toshiro Funatsu, Mitsuhiko Kuroda, Ryoyu Takeda, Kenzo Uchida, Tomio Kametani, Fujitsugu Matsubara |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Adult
medicine.medical_specialty Hypertension Renal medicine.medical_treatment Propranolol urologic and male genital diseases Revascularization Renal Artery Obstruction Renal Veins Renovascular hypertension medicine.artery Internal medicine Renin–angiotensin system Renin medicine Humans Renal artery business.industry General Medicine medicine.disease Stenosis Blood pressure Nephrology Cardiology Female Renal vein business medicine.drug |
| Zdroj: | Nephron. 17(4) |
| ISSN: | 1660-8151 |
| Popis: | Renovascular hypertension in two sisters, aged 22 and 20, respectively, has been described. Renal artery stenoses were observed unilaterally in the elder patient and bilaterally in the younger one. In both patients, the functional significance of unilateral stenosis of the renal artery was documented by the renal vein renin ratio between the affected side and the contralateral or less affected side. High blood pressure and elevated plasma renin activity have been normalized with a unilateral revascularization in the elder patient, and with the treatment of propranolol in the younger one. The histological examination of the stenotic renal artery in the elder patient showed a finding comparable to the perimedial fibroplasia in Harrison and McCormack’s classification of idiopathic fibromuscular stenosis. |
| Databáze: | OpenAIRE |
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