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肾移植后髂动脉狭窄继发恶性高血压:病例报告。

Malignant hypertension secondary to iliac artery stenosis after kidney transplantation: a case report.

机构信息

Cardiology Department, Hbib Thameur Hospital, Tunis, Tunisia.

Nephrology Department, Rabta Hospital, Tunis, Tunisia.

出版信息

Pan Afr Med J. 2021 Nov 3;40:132. doi: 10.11604/pamj.2021.40.132.30927. eCollection 2021.

Abstract

Iliac artery stenosis is a rare complication after renal transplantation. This complication affects elderly patients and related to atheromatous disease. It mimics the same clinical presentation as a transplant renal artery stenosis or renal artery stenosis. This entity is can be responsible for serious complications such as renal dysfunction, malignant hypertension and acute pulmonary oedema. We present in this paper the case of a 51-year-old patient, who benefited 7 years early of renal transplantation, with a good initial result, and who was admitted actually for malignant hypertension and renal function impairment due to an iliac artery stenosis proximal to the renal transplant and who was treated with a stenting angioplasty of the external iliac artery with a mixed outcome. Our case highlights the importance of the early diagnosis and treatment of such complications to avoid definitive renal failure and permanent hypertension.

摘要

髂动脉狭窄是肾移植后的一种罕见并发症。这种并发症影响老年患者,与动脉粥样硬化疾病有关。它的临床表现与移植肾动脉狭窄或肾动脉狭窄相同。这种情况可能导致严重并发症,如肾功能障碍、恶性高血压和急性肺水肿。我们在本文中介绍了一位 51 岁患者的病例,他在 7 年前接受了肾移植,初始结果良好,目前因肾移植部位近端的髂动脉狭窄导致恶性高血压和肾功能损害而住院,并接受了髂外动脉支架血管成形术治疗,结果混合。我们的病例强调了早期诊断和治疗此类并发症的重要性,以避免终末期肾衰竭和永久性高血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0977/8641631/40a076fa1ba4/PAMJ-40-132-g001.jpg

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