Fibromuscular dysplasia: an unusual cause of hypertension in the transplant recipient.
A transplant recipient developed hypertension from unsuspected fibromuscular dysplasia of the donor renal artery. We believe this is the first reported case of this disease transmitted by transplantation. Successful repair of the stenosis was obtained by resection of the stenotic area and reanastomosis to the internal iliac artery. While the diagnosis of fibromuscular hyperplasia was not suspected in our donor prior to organ retrieval, its eventual occurrence in the transplanted kidney suggests that when the donor clinical picture is appropriate the lesion should be searched for prior to use of the organs.
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D003928:Diabetic Nephropathies / Q000150:complications; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D012077:Renal Artery / Q000637:transplantation; D012078:Renal Artery Obstruction / Q000150:complications