The oldest reported patient with fibromuscular dysplasia of the renal artery.
An 80-year-old woman was brought to the emergency department with accelerated hypertension. Multiple medical regimens failed, including an angiotensin-converting enzyme inhibitor, which caused acute renal failure. Results of a renal scan for captopril were negative; renal arteriogram revealed fibromuscular dysplasia of the right renal artery. Percutaneous transluminal angioplasty was successful in dilating the renal artery and making blood pressure easier to control. Although more common in younger people, fibromuscular dysplasia should be considered in patients who are elderly and have hypertension that is difficult to control. Transluminal angioplasty should be attempted to preserve renal function and control blood pressure.
Prieto
L N
LN
Department of Medicine, Baylor College of Medicine, Houston, Tex., USA.
Dyer
C B
CB
Thompson
P M
PM
Whigham
C
C
D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000628:therapy; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D012077:Renal Artery; D012078:Renal Artery Obstruction / Q000209:etiology