title: Bilateral renal artery entrapment by diaphragmatic crura: a rare cause of renovascular hypertension with a specific management.
abstract: We present the case of a young man with compression of both renal arteries by the crura of the diaphragm. Correct diagnosis of renal artery entrapment is difficult but crucial. The investigations rely on an high index of suspicion and include Doppler ultrasound and spiral computed tomography angiography, which permits visualization of the diaphragm and its relationships with the aorta. This pathology, unlike common renal artery stenoses, requires surgical decompression and sometimes aortorenal bypass graft.
authors.affiliation: Department of Thoracic and Vascular Surgery, Cardiovascular and Metabolic Diseases Centre, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Déglise
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Corpataux
authors.forename: Claude
authors.initials: C
authors.lastname: Haller
authors.forename: Stefano
authors.initials: S
authors.lastname: Binaghi
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Meuwly
authors.forename: Salah D
authors.initials: SD
authors.lastname: Qanadli
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D036542:Tomography, Spiral Computed; D018608:Ultrasonography, Doppler