Naslov
Resistant hypertension after renal infarction in a man with fibromuscular dysplasia
(Resistant hypertension after renal infarction in a man with fibromuscular dysplasia)

Autori
Bukal, Nikolina ; Perkov, Dražen ; Penezić, Luka ; Jelaković, Bojan ; Dika, Živka

Izvornik
Blood pressure (0803-7051) 30 (2021), 6; 421-427

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
resistant hypertension ; fibromuscular dysplasia ; artery dissection ; renal infarction ; renal colic

Sažetak
We report the case of 39-year-old Caucasian man presenting in emergency department with new onset of severe hypertension with hypokalaemia eight weeks after renal colic. Patient was referred to a hypertension unit for further investigation. Hormonal analysis confirmed secondary aldosteronism and slightly impaired kidney function. Imaging revealed smaller right kidney, ‘string of beads appearance’ of distal part of right renal artery, a short zone of dissection and renal infarction. Renal scintigraphy showed significant blood flow reduction and severe functional damage of the right kidney. Despite multidrug antihypertensive treatment patient’s hypertension was resistant and target organ damage evolved. After initial patient’s refusal, he was later successfully treated with laparoscopic simple nephrectomy. Histopathological analysis confirmed renal artery dissection and medial fibroplasia. Thereafter, hypertension was controlled with trandalopril monotherapy. This is a first case report of the patient with renovascular multifocal fibromuscular dysplasia, dissection and renal infarction whose diagnosis of the disease was confirmed by angiography and histopathologic analysis. Resistant hypertension was successfully treated with nephrectomy.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA