Gaudeau S, Boffeti C, Auvert J
Nouv Presse Med. 1981 Sep 19;10(33):2735-6.
In theory, negative urographic findings in severe hypertension exclude a renovascular origin. However, when both renal arteries are dysplastic urography may remain perfectly normal even though arteriography demonstrates tight stenoses and these patients are cured by surgical treatment. In the case reported here the only clinical sign of stenotic renal arteries was a systolic murmur on auscultation of the abdomen.
理论上，严重高血压患者尿路造影结果为阴性可排除肾血管性病因。然而，当双侧肾动脉发育异常时，即使动脉造影显示存在严重狭窄，尿路造影结果仍可能完全正常，而这些患者通过手术治疗可治愈。在本文报道的病例中，肾动脉狭窄的唯一临床体征是腹部听诊时出现的收缩期杂音。
