Hypertension due to renal artery stenosis in pregnancy--the use of angioplasty.
The use of transluminal percutaneous renal angioplasty for severe hypertension in the second trimester of pregnancy has not previously been reported. We describe its use in a 19-year-old female. The procedure resulted in a significant improvement in blood pressure control and allowed the pregnancy to proceed to term, resulting in the delivery of a normal female baby on the 90th percentile for weight. No morbidity to mother or fetus was observed as a result of diagnostic or therapeutic procedures. We conclude that pregnancy should not preclude making the diagnosis of renovascular hypertension as angioplasty may be a useful therapeutic option.
Pollock
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Department of Renal Medicine, Royal North Shore Hospital, St Leonards, New South Wales.
Gallery
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Gyory
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D000328:Adult; D000800:Angioplasty, Balloon; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology* / Q000628:therapy; D007231:Infant, Newborn; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology* / Q000628:therapy; D012078:Renal Artery Obstruction / Q000628:therapy*