Baguet J P, Thony F, Tremel F, Cracowski J L, Sessa C, Mallion J M
Service de médecine interne et cardiologie, CHU de Grenoble.
Arch Mal Coeur Vaiss. 1999 Dec;92(12):1767-72.
Stenosis of a renal artery by extrinsic compression is an uncommon cause of renovascular hypertension. In rare cases, this compression is due to the presence of fibres from the diaphragm or the psoas muscle. This aetiology should be considered when renal artery stenosis is observed in a young hypertensive patient without cardiovascular risk factors. Spiral CT scan is particularly useful for studying the relationship between the diaphragm and arterial structures. Once the diagnosis has been made, the treatment is surgical section of the fibrous tissues responsible for the compression.
外在压迫导致的肾动脉狭窄是肾血管性高血压的一种罕见病因。在极少数情况下,这种压迫是由于膈肌或腰大肌的纤维所致。当在无心血管危险因素的年轻高血压患者中观察到肾动脉狭窄时,应考虑这种病因。螺旋CT扫描对于研究膈肌与动脉结构之间的关系特别有用。一旦确诊,治疗方法是手术切断导致压迫的纤维组织。