“Malignant” hypertension resulting from atheromatous embolization predominantly of one kidney - 07/10/17
Requests for reprints should be addressed to Dr. Theodore G. Dalakos, State University Hospital of the Upstate Medical Center, 750 East Adams Street, Syracuse, New York 13210.Abstract |
The presence of left-sided renal ischemia in a 57 year old man with malignant hypertension was suggested by an abnormal intravenous pyelogram and radioisotopic evidence of reduced blood flow to the left kidney. Plasma renin activity was higher in the left renal vein than in the right renal vein (ratio 2.3:1), despite a normal renal arteriogram, implying occlusion of small arteries or arterioles in the left kidney. The patient died and at autopsy was found to have an ulcerated plaque of atheroma overlying the orifice of the left renal artery, whence atheromatous embolization, predominantly of the left kidney, had taken place, causing ipsilateral renin release and hypertension.
Le texte complet de cet article est disponible en PDF. | This study was supported by a Graduate Training Grant in Endocrinology (AM 05252) from the National Institute of Arthritis and Metabolic Disease, and a Clinical Research Center Grant (RR 00229) from the Division of Research Facilities and Resources, U.S. Public Health Service. |
Vol 57 - N° 1
P. 135-138 - juillet 1974 Retour au numéro
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- Infiltrative gastrointestinal disease
- Idiopathic dilatation of the pulmonary artery with pulmonic insufficiency
- Lawrence Gould, C.V.R. Reddy, Robert F. Gomprecht
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