一名成年男性的纤维肌发育不良作为肾动脉狭窄和继发性高血压的病因，接受了肾动脉支架置入治疗。
Fibromuscular dysplasia in an adult male as a cause of renal artery stenosis and secondary hypertension treated with renal artery stenting.
作者信息
Bishal K C, Malla Rabi, Adhikari Chandra Mani, Rauniyar Binay, Limbu Deepak
机构信息
NAMS, Bir Hospital, Kathmandu, Nepal.
Cardiologist, Sahid Gangalal National Heart Center, Kathmandu, Nepal.
出版信息
Egypt Heart J. 2017 Mar;69(1):81-84. doi: 10.1016/j.ehj.2016.09.004. Epub 2016 Oct 4.
BACKGROUND
Renovascular hypertension due to fibromuscular dysplasia is an uncommon cause of secondary hypertension and is more common in females. This entity is an important treatable cause of secondary hypertension.
CASE PRESENTATION
We report the case of a 21-year-old asymptomatic male found to have high blood pressure on routine checkup. Renal angiogram revealed fibromuscular dysplasia involving the right renal artery. He underwent percutaneous angioplasty with complete recovery. The single antihypertensive which he was on was stopped next month.
CONCLUSION
Fibromuscular dysplasia causing stenosis of renal artery is uncommon. High degree of suspicion is required for the timely diagnosis and treatment of this potentially treatable cause of secondary hypertension.
背景
纤维肌性发育异常所致的肾血管性高血压是继发性高血压的一种罕见病因，在女性中更为常见。该病症是继发性高血压的一个重要可治疗病因。
病例报告
我们报告一例21岁无症状男性病例，其在常规体检时发现患有高血压。肾血管造影显示右肾动脉纤维肌性发育异常。他接受了经皮血管成形术并完全康复。下个月停用了他正在服用的单一降压药。
结论
导致肾动脉狭窄的纤维肌性发育异常并不常见。对于这种继发性高血压的潜在可治疗病因，需要高度怀疑以实现及时诊断和治疗。
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