Difficulty and importance of diagnosing stenosis of renal branch artery in fibromuscular dysplasia: a case report

Autor:	Andreas Skræddergaard, Jakob Nyvad, Kent Lodberg Christensen, Arne Hørlyck, Hossein Mohit Mafi, Mark Reinhard
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	fibromuscular dysplasia renovascular hypertension renal artery stenosis percutaneous transluminal angioplasty abdominal pain adolescent Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Blood Pressure, Vol 30, Iss 6, Pp 416-420 (2021)
Druh dokumentu:	article
ISSN:	0803-7051 1651-1999 08037051
DOI:	10.1080/08037051.2021.1993735
Popis:	A 16-year-old patient presented with abdominal pain and sustained hypertension. Thorough evaluation including renography with and without captopril and renal vein renin sampling were normal. Duplex ultrasound, however, raised suspicion of a renal artery stenosis. This was confirmed by computed tomography angiography which showed a severe branch artery stenosis with post-stenotic dilatation consistent with focal fibromuscular dysplasia (FMD). As the hypertension was resistant to 3 classes of antihypertensive treatment, percutaneous transluminal renal angioplasty (PTRA) was offered. The procedure had immediate effect on the blood pressure. Without medication the patient remains normotensive 4 years after and the abdominal pain has only sporadically returned. The presented case illustrates the challenging process of diagnosing FMD-related renal branch artery stenosis as well as the potential benefits of PTRA in this patient group.
Databáze:	Directory of Open Access Journals
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