Lagneau P
Service de Chirurgie Vasculaire, Hôpital Saint-Michel, Paris.
J Mal Vasc. 1994;19 Suppl A:112-7.
Renal artery aneurysms (RAA) are rare lesions, often associated with hypertension. In order to evaluate the benefit in terms of blood pressure of elective cure of a fibrodysplastic renal artery aneurysm in hypertensive patients, 22 patients were studied retrospectively. With a mean follow-up of 66 months, correction or improvement of hypertension was obtained in all patients with an isolated aneurysm or an aneurysm associated with haemodynamic lesions of the renal artery, treated at the same time, but only 40% of cases when the aneurysm was associated with non-haemodynamic lesions. Direct criteria attributing the hypertension to the aneurysm were generally absent.
肾动脉动脉瘤(RAA)是罕见的病变,常与高血压相关。为了评估择期治愈高血压患者的纤维发育不良性肾动脉动脉瘤对血压的益处,对22例患者进行了回顾性研究。平均随访66个月,所有孤立性动脉瘤或同时伴有肾动脉血流动力学病变的动脉瘤患者的高血压得到纠正或改善,但动脉瘤伴有非血流动力学病变时,仅40%的病例高血压得到改善。通常不存在将高血压归因于动脉瘤的直接标准。