Ir Med J. 2024 Sep 26;117(8):1017.
We present a case of 50-year-old lady who present with 1-month history of uncontrolled hypertension.
Magnetic resonance angiography showed stenosis of the left renal artery just beyond the ostium extending over approximately 7mm in length. Computed tomography angiography show focal narrowing of the proximal renal artery just distal to vessel origin, approximately 60% stenosis.
Anti-hypertensive medication was initiated in the ward. She was referred to vascular surgeon for renal bypass.
Renal artery stenosis is common cause of hypertension but may go unrecognised. The focus of this case is on the evaluation and necessity for a complete evaluation of the patient who is presenting with uncontrolled hypertension. To rule out renal artery stenosis, patient should be examined using CT-angiography or, if possible, arteriography.
我们呈现了一位 50 岁女性的病例，她有 1 个月的高血压病史且不受控制。
磁共振血管造影显示左肾动脉开口处狭窄，长度约 7 毫米。计算机断层血管造影显示肾动脉起始处远端约 60%狭窄。
病房开始使用抗高血压药物。她被转介到血管外科医生进行肾旁路手术。
肾动脉狭窄是高血压的常见原因，但可能未被发现。本病例的重点是评估和确定患有不受控制的高血压的患者是否需要进行全面评估。为了排除肾动脉狭窄，患者应使用 CT 血管造影或如果可能的话进行血管造影检查。
