[Successful percutaneous angioplasty of renal artery in a patient with severe arterial hypertension and symptoms of hyperaldosteronism: a case report].
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.
Skrzypiec-Spring
Monika
M
Katedra i Klinika Kardiologii, Akademia Medyczna, ul. Pasteura 4, 50-367 Wrocław. skrzyp@fa.am.wroc.pl
Spring
Adam
A
Poczatek
Karol
K
Nowicki
Przemysław
P
Derkacz
Arkadiusz
A
Ciesielska
Agnieszka
A
Negrusz-Kawecka
Marta
M
Mazurek
Walentyna
W
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
D012083:Renin