title: [Contribution of angioplasty of a fibromuscular angiodysplasic renal artery during early-onset gestational hypertension].
abstract: This clinical case illustrates the management difficulties encountered during gestational hypertension and its impact on maternal and foetal outcome. Typically, preeclampsia occurs at the end of the second trimester. If blood pressure remains high early during pregnancy, a secondary cause of hypertension such as renal artery fibromuscular dysplasia should be explored. A renal vascular etiology can be safely ruled out with a duplex ultrasound. In this particular case of renal vascular hypertension in a patient with a single kidney, angioplasty appeared to be the sole solution and was efficient.
authors.affiliation: Clinique Médicochirurgicale Vasculaire, Hôpital Cardiologique, CHRU de Lille, Boulevard du Pr-Leclercq, 59037 Lille Cedex, France. Pascal.DELSART@chru-lille.fr
authors.forename: P
authors.initials: P
authors.lastname: Delsart
authors.forename: D
authors.initials: D
authors.lastname: Broucqsault
authors.forename: M
authors.initials: M
authors.lastname: Midulla
authors.forename: I
authors.initials: I
authors.lastname: Sediri
authors.forename: S
authors.initials: S
authors.lastname: Haulon
authors.forename: C
authors.initials: C
authors.lastname: Mounier-Vehier
mesh_terms: D000328:Adult; D017130:Angioplasty; D002585:Cesarean Section; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology*; D006978:Hypertension, Renovascular / Q000209:etiology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000601:surgery*; D011261:Pregnancy Trimester, First; D012077:Renal Artery