title: [Successful percutaneous angioplasty of renal artery in a patient with severe arterial hypertension and symptoms of hyperaldosteronism: a case report].
abstract: Arterial hypertension may result from renal artery stenosis. In this type of hypertension renin-angiotensin-aldosterone system is activated and patients often produce signs of hyperaldosteronism. It must be distinguished from primary hyperaldosteronism in order to chose a proper therapy. In this paper we describe a case of a 65-years-old man with severe arterial hypertension, which was difficult to control pharmacologically. The patient revealed symptoms which suggested primary hyperaldosteronism (except normal plasma renin activity). Only imaging techniques allowed diagnose of renal artery stenosis and carry out successful percutaneous angioplasty of renal artery.
authors.affiliation: Katedra i Klinika Kardiologii, Akademia Medyczna, ul. Pasteura 4, 50-367 Wrocław. skrzyp@fa.am.wroc.pl
authors.forename: Monika
authors.initials: M
authors.lastname: Skrzypiec-Spring
authors.forename: Adam
authors.initials: A
authors.lastname: Spring
authors.forename: Karol
authors.initials: K
authors.lastname: Poczatek
authors.forename: Przemysław
authors.initials: P
authors.lastname: Nowicki
authors.forename: Arkadiusz
authors.initials: A
authors.lastname: Derkacz
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Ciesielska
authors.forename: Marta
authors.initials: M
authors.lastname: Negrusz-Kawecka
authors.forename: Walentyna
authors.initials: W
authors.lastname: Mazurek
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D000800:Angioplasty, Balloon / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D006929:Hyperaldosteronism / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D006978:Hypertension, Renovascular / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications* / Q000628:therapy*; D012083:Renin / Q000097:blood; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D012083:Renin