[肾动脉夹层动脉瘤所致急性动脉性高血压]
[Acute arterial hypertension caused by dissecting aneurysm of the renal artery].
作者信息
Godon P, Brion R, Guérard S, Monnier G, Chaffotte L
机构信息
Service de Pathologie cardio-vasculaire, Hôpital d'Instruction des Armées Desgenettes, Lyon.
出版信息
Presse Med. 1998 Apr 4;27(13):612-5.
BACKGROUND
Aneurysm of the renal artery is an uncommon discovery at arteriography performed as part of a hypertension work-up.
CASE REPORTS
We observed acute hypertension following dissection of a renal artery aneurysm which led to circulating channel stenosis. After surgical correction of the lesion, arterial pressures returned to normal.
DISCUSSION
Most cases of renal artery aneurysm do not cause hypertension. In such cases, the high blood pressure is idiopathic or related to fibrodysplastic stenosis of the renal artery often associated with aneurysm formation. In rare cases with obstructive complications alone an aneurysm may lead to acute hypertension either after dissection as in our case or after thrombus formation. Surgery is generally required.
背景
肾动脉动脉瘤在作为高血压检查一部分而进行的血管造影术中是一种罕见的发现。
病例报告
我们观察到一例肾动脉动脉瘤夹层后出现急性高血压，导致循环通道狭窄。病变经手术矫正后，动脉血压恢复正常。
讨论
大多数肾动脉动脉瘤病例不会引起高血压。在这些病例中，高血压是特发性的，或与常伴有动脉瘤形成的肾动脉纤维发育不良性狭窄有关。在仅伴有阻塞性并发症的罕见病例中，动脉瘤可能在夹层后（如我们的病例）或血栓形成后导致急性高血压。通常需要进行手术。
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