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一例因肾动脉狭窄导致的耐药性肾血管性高血压经患肾切除术成功治疗的病例。

A Case of Drug-Resistant Renovascular Hypertension due to Renal Artery Stenosis Successfully Treated by Nephrectomy of the Affected Kidney.

作者信息

Shimoda Moeto, Otake Shinji, Imano Masashi, Aoki Tetsuya, Karibe Jurii, Shibata Yosuke, Inoue Masahiro, Nagatomo Akiko, Yakeishi Mayumi, Kobayashi Kazuki

机构信息

Department of Urology Yokosuka Kyosai Hospital Yokosuka Japan.

Department of Urology Yokohama City University Hospital Yokohama Japan.

出版信息

IJU Case Rep. 2025 Aug 19;8(5):525-528. doi: 10.1002/iju5.70084. eCollection 2025 Sep.

DOI:10.1002/iju5.70084
PMID:40909303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12408181/
Abstract

INTRODUCTION

Renal artery stenosis (RAS) reduces renal blood flow and activates the renin-angiotensin-aldosterone (RAA) system, resulting in renovascular hypertension (RVH).

CASE PRESENTATION

We report a case of a 49-year-old woman with RVH due to bilateral renal artery stenosis, predominantly on the right. Despite pharmacological treatment, blood pressure remained poorly controlled; leading to severe heart failure that required dialysis. Percutaneous renal angioplasty was considered but deemed technically difficult. The patient underwent a successful laparoscopic right nephrectomy, leading to improved blood pressure control and reduced need for antihypertensive medications.

摘要

引言

肾动脉狭窄（RAS）会减少肾血流量并激活肾素-血管紧张素-醛固酮（RAA）系统，从而导致肾血管性高血压（RVH）。

病例报告

我们报告一例49岁女性因双侧肾动脉狭窄（主要在右侧）导致肾血管性高血压的病例。尽管进行了药物治疗，但血压仍控制不佳，导致严重心力衰竭，需要透析治疗。考虑过经皮肾血管成形术，但认为技术难度较大。该患者成功接受了腹腔镜右肾切除术，血压控制得到改善，降压药物需求减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/5d6ed262d217/IJU5-8-525-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/e832455cdefb/IJU5-8-525-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/6863e232a536/IJU5-8-525-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/5d6ed262d217/IJU5-8-525-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/e832455cdefb/IJU5-8-525-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/6863e232a536/IJU5-8-525-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12408181/5d6ed262d217/IJU5-8-525-g001.jpg

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A Case of Drug-Resistant Renovascular Hypertension due to Renal Artery Stenosis Successfully Treated by Nephrectomy of the Affected Kidney.一例因肾动脉狭窄导致的耐药性肾血管性高血压经患肾切除术成功治疗的病例。
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