[Non-controllable blood pressure peaks--pheochromocytoma?].
A 59-year old patient presented with a history of arterial hypertension, refractory to combined antihypertensive treatment with ACE-inhibitors, diuretics, calcium channel blockers and beta blockers. Blood pressure values ranged from 180/100mmHg to 90mmHg systolic after medication intake. Diagnostic work-up revealed renal artery stenosis on duplexsonography that was treated by percutaneous transluminal angioplasty and stent implantation. After the intervention, blood pressure values remained normal even without antihypertensive treatment.
Brendebach
St
S
Medizinische Universitätspoliklinik, Universitätsspital Basel, Basel. stefan.brendebach@hin.ch
Burri
E
E
Imfeld
St
S
Jacob
A L
AL
Zimmerli
L
L
D000465:Algorithms; D000800:Angioplasty, Balloon; D001795:Blood Pressure Determination; D003937:Diagnosis, Differential; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D015607:Stents; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex