Laparoscopic treatment of renal artery entrapment.
Renal artery entrapment by the diaphragmatic crus is a very infrequent cause of renovascular hypertension. We present the case of a young man who was assigned to our hospital with arterial hypertension and stenosis of the left renal artery. Extrinsic compression was diagnosed by duplex ultrasound and magnetic resonance angiography. We performed laparoscopic decompression using the transperitoneal retrorenal approach. Antihypertensive medication could be stopped thereafter and duplex ultrasound revealed a normal blood flow to the left renal artery. We therefore propose laparoscopic treatment of left renal artery entrapment as a minimally-invasive alternative to open surgery.
Bünger
Carsten Michael
CM
Department of Surgery, University of Rostock, Rostock, Germany. carsten.buenger@medizin.uni-rostock.de
Schareck
Wolfgang
W
Klar
Ernst
E
Kröger
Jens-Christian
JC
D000959:Antihypertensive Agents / Q000627:therapeutic use; D019299:Decompression, Surgical; D003964:Diaphragm / Q000601:surgery*; D018475:Head-Down Tilt; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D018810:Magnetic Resonance Angiography; D008297:Male; D056888:Patient Positioning; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D055815:Young Adult
D000959:Antihypertensive Agents