Efficacy of Renal Revascularization in a Patient With Fibromuscular Renal Artery Stenosis and Heart Failure

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概要

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• We report the case of a 65-year-old woman with a solitary kidney who developed hypertension due to renal artery stenosis caused by fibromuscular dysplasia. In addition, an echocardiogram revealed severe left ventricular systolic and diastolic dysfunction. Despite antihypertensive drug treatment that included diuretics, her serum concentration of brain natriuretic peptide was persistently elevated and associated with progressive worsening of renal function. She underwent iliac artery to renal artery bypass grafting. After the surgery, blood pressure control was good, the serum concentration of brain natriuretic peptide decreased, and left ventricular diastolic function improved. This case exemplifies the efficacy of renal revascularization in patients with fibromuscular renal artery stenosis and heart failure.

著者

• Miyata Tetsuro

  Department of Vascular Surgery, Division of Surgery, Graduate School of Medicine, The University of Tokyo

• Shigematsu Kunihiro

  Department of Vascular Surgery, Division of Surgery, Graduate School of Medicine, The University of Tokyo

関連論文

• Efficacy of Renal Revascularization in a Patient With Fibromuscular Renal Artery Stenosis and Heart Failure
• Effect of Suprarenal Aortic Cross-Clamping:– Juxtarenal vs. Infrarenal Short and/or Large Neck Abdominal Aortic Aneurysm –

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