Abstract

Renovascular hypertension is an important cause of secondary hypertension. We present the case of a 61-year-old man with renovascular hypertension caused by chronic total occlusion of the left renal artery resulting in an atrophic kidney. Although renography indicated almost no residual function of the left kidney, renal vein sampling showed a significant increase of renin secretion in the left kidney. The endocrine function of the left kidney was believed to be preserved; thus, we performed percutaneous transluminal renal angioplasty with stent placement. After the procedure, the patient’s blood pressure decreased gradually to within the normal range without adverse events. The laboratory data on endocrine function and the renography findings drastically improved. Percutaneous transluminal renal angioplasty is a promising therapeutic procedure for renovascular hypertension with an atrophic kidney.

Highlights

  • Renovascular hypertension (RVH) is an important cause of secondary hypertension

  • We present the case of a 61-year-old man with renovascular hypertension caused by chronic total occlusion of the left renal artery resulting in an atrophic kidney

  • We report here the successful treatment of RVH caused by chronic total occlusion with an atrophic kidney, using

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Summary

CASE REPORT

Keisuke Maruyama • Junko Chinda • Maki Kabara • Naoki Nakagawa • Takayuki Fujino • Toshiharu Takeuchi • Naoyuki Hasebe Received: 26 September 2013 / Accepted: 13 December 2013 / Published online: 3 January 2014 Ó The Author(s) 2013. This article is published with open access at Springerlink.com

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Case report
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