Ischemic nephropathy in an elderly patient.
Congestive heart failure often occurs in patients with bilateral renal artery stenosis. Recently, Jacobson and Breyer, and Jacobson introduced the term "ischemic nephropathy", which implies critical bilateral involvement or global ischemia. Ischemic nephropathy is not only a cause of hypertension but also an important cause of end-stage renal disease. However, the aging kidney often show that the renal artery does not demonstrate stenosis of the main trunks, but stenosis of an atherosclerotic branch. We present a case of multiple atherosclerotic peripheral renal arteries, which might have caused ischemic nephropathy in an elderly hypertensive patient with advanced atherosclerosis.
Hoshide
Satoshi
S
Department of Cardiology, Jcihi Medical University School of Medicine, Tochigi, Japan. hoshide@jichi.ac.jp
Kario
Kazuomi
K
Shimada
Kazuyuki
K
D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D050197:Atherosclerosis / Q000150:complications; D001562:Benzimidazoles / Q000008:administration & dosage / Q000627:therapeutic use; D001713:Biphenyl Compounds; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D007511:Ischemia / Q000150:complications* / Q000503:physiopathology; D007668:Kidney / Q000098:blood supply* / Q000503:physiopathology; D016491:Peripheral Vascular Diseases / Q000150:complications; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D013777:Tetrazoles / Q000008:administration & dosage / Q000627:therapeutic use
D000959:Antihypertensive Agents; D001562:Benzimidazoles; D001713:Biphenyl Compounds; D013777:Tetrazoles; C081643:candesartan