Tuberculosis of the renal artery: a rare cause of renovascular arterial hypertension.
Tuberculosis is an endemic disease in Morocco. Main blood vessels are rarely affected; the few mentioned cases are aneurysmal. We report a 17-year-old patient presenting with renovascular arterial hypertension, revealed thanks to the discovery of an occlusion of the right renal artery in Duplex scan. During the intervention, the observation of pararenal and mesenteric tuberculous polyadenopathy let us suggest the same kind of lesion at the level of the occluded renal artery. Once antituberculosis treatment had been carried out, the right renal artery was revascularized with a right iliorenal bypass using reversed internal saphenous vein. The postoperative course was uneventful, with an 18-month follow-up. Arterial pressure was normal without antihypertensive treatment, and the bypass was patent. As far as we know, this is the first case of renovascular arterial hypertension resulting from tuberculosis treated with an iliorenal bypass.
Bouziane
Zakariyae
Z
Service de Chirurgie Vasculaire, Hôpital Ibn Sina, CHU de Rabat, Rabat, Morocco. zakibouzi@yahoo.fr
Boukhabrine
Khalil
K
Lahlou
Zineb
Z
Benzirar
Adnane
A
el Mahi
Omar
O
Lekehal
Brahim
B
Mesnaoui
Abbes
A
Bensaid
Younes
Y
D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008297:Male; D009018:Morocco; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012501:Saphenous Vein / Q000637:transplantation; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D014398:Tuberculosis, Renal / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures
D000959:Antihypertensive Agents; D000995:Antitubercular Agents