Derkacz Arkadiusz, Podgórski Maciej, Poreba Rafał, Belowska-Bień Kinga, Gruber Katarzyna, Słonina Joanna, Szuba Andrzej, Andrzejak Ryszard
Katedra i Klinika Chorób Wewnetrznych, Zawodowych i Nadciśnienia Tetniczego, Akademia Medyczna, Wybrzeze L. Pasteura 4, 50-367 Wrocław, Poland.
Kardiol Pol. 2009 Jun;67(6):663-5, discussion 666.
Hypertension associated with fibromuscular dysplasia of renal artery is the most common form of secondary hypertension among young patients. In this article we present a case of a 27-year-old patient, with drug-resistant hypertension. Stenosis of right renal artery and small right kidney were found on ultrasonography, angio-CT and angiography. There was no sign of renal atrophy therefore we performed percutaneous transluminal angioplasty. After the procedure we observed a decrease in blood pressure and no need to use hypertensive medication. Diagnosis and treatment of this condition are discussed.
与肾动脉纤维肌发育异常相关的高血压是年轻患者继发性高血压最常见的形式。在本文中，我们介绍了一例27岁耐药性高血压患者的病例。超声检查、血管CT和血管造影显示右肾动脉狭窄及右肾较小。未发现肾萎缩迹象，因此我们进行了经皮腔内血管成形术。术后我们观察到血压下降，无需使用降压药物。本文对该疾病的诊断和治疗进行了讨论。
