Clément C, Ruiz R, Costa-Foru B, Nicaise H
Service de Chirurgie Vasculaire, Hôpital Robert Debrè, Reims, France.
Ann Vasc Surg. 1990 May;4(3):305-8. doi: 10.1007/BF02009463.
Extrinsic compression of the renal artery due to a fibromuscular band originating from the diaphragm was encountered in a 26-year-old patient who had systemic hypertension associated with stenosis and kinking of one of her renal arteries. After surgical decompression, the renal artery assumed a normal expansion with disappearance of hypertension. Six other cases of extrinsic compression of the renal artery have been found in the literature. Surgical treatment is mandatory in all cases because the mechanism that causes the lesion makes percutaneous transluminal angioplasty illusory.
一名26岁患有系统性高血压且伴有一侧肾动脉狭窄和扭结的患者，发现其肾动脉受到一条源自膈肌的纤维肌性束带的外在压迫。手术减压后，肾动脉恢复正常扩张，高血压消失。文献中还发现了另外6例肾动脉外在压迫的病例。所有病例均必须进行手术治疗，因为导致该病变的机制使得经皮腔内血管成形术难以奏效。
