Calinoiu Amalia, Guluta Elena-Cristina, Rusu Adina, Minca Alexandra, Minca Dragos, Tomescu Luminita, Gheorghita Valeriu, Minca Dana Galieta, Negreanu Lucian
Department of Internal Medicine, Prof. Dr. Agrippa Ionescu Emergency Clinical Hospital, Bucuresti 011356, București, Romania.
Department of Gastroenterology, Bucharest University Emergency Hospital, Bucharest 050098, Romania.
World J Clin Cases. 2023 Mar 6;11(7):1506-1512. doi: 10.12998/wjcc.v11.i7.1506.
Secondary hypertension is a relatively rare condition most commonly caused by renovascular disease due to atherosclerotic vascular disease or fibromuscular dysplasia. Although accessory renal arteries are frequent, to date, only six cases of secondary hypertension determined by their existence have been reported.
We describe a case of a 39-year-old female who came to the emergency department with an urgent hypertensive crisis and hypertensive encephalopathy. Despite normal renal arteries, the computed tomography angiography revealed an inferior polar artery with 50% stenosis of its diameter. Conservative treatment with amlodipine, indapamide and perindopril was adopted, leading to blood pressure control within one month.
To the best of our knowledge, there are controversies regarding accessory renal arteries as a potential etiology for secondary hypertension, but the seven similar cases already described, along with the current case, could reinforce the necessity of more studies concerning this subject.
继发性高血压是一种相对罕见的病症，最常见的病因是由动脉粥样硬化性血管疾病或纤维肌发育异常引起的肾血管疾病。虽然副肾动脉较为常见，但迄今为止，仅有6例因副肾动脉的存在而导致继发性高血压的病例报道。
我们描述了一名39岁女性患者，她因紧急高血压危象和高血压脑病前来急诊科就诊。尽管其肾动脉正常，但计算机断层血管造影显示一条下极动脉直径有50%的狭窄。采用氨氯地平、吲达帕胺和培哚普利进行保守治疗，一个月内血压得到控制。
据我们所知，关于副肾动脉作为继发性高血压潜在病因存在争议，但已报道的7例类似病例以及本病例，可能会强化对该主题进行更多研究的必要性。
