Spiridonov A A
Kardiologiia. 1975 Aug;15(8):61-6.
In the course of a 10-year study of the problem of renovascular hypertension in the A.N. Bakuley Institute of Cardiovascular Surgery, concomitant pathology of other arterial systems was found in 144 patients among 218 cases of acquired lesions of the renal arteries. The combination of the lesions of the renal arteries with those of other arteries (branches of the aortic arch, descending thoracic and abdominal aorta, its visceral branches and the arteries of the lower extremities) is, according to the author, one of the main peculiarities of renovascular hypertension that predetermines its malignant course. A purposeful study of the state of the major vessels in a patient with arterial hypertension permits to reveal their lesion or intactness, and to conduct a detailed clinical investigation accordingly, as well as to choose the proper method of angiography and surgery.
在A.N.巴库列伊心血管外科研究所对肾血管性高血压问题进行的为期10年的研究过程中，在218例获得性肾动脉病变患者中，有144例发现了其他动脉系统的伴随病变。作者认为，肾动脉病变与其他动脉（主动脉弓分支、胸降主动脉和腹主动脉、其内脏分支以及下肢动脉）病变的合并存在是肾血管性高血压的主要特点之一，这决定了其恶性病程。对动脉高血压患者的主要血管状态进行有针对性的研究，有助于发现其病变或完整性，并据此进行详细的临床检查，以及选择合适的血管造影和手术方法。
