title: An uncommon cause of renovascular hypertension.
abstract: Renovascular hypertension is usually due to an atherosclerotic artery stenosis or a fibromuscular dysplasia. We describe an uncommon cause of renal ischemia. A 66-year-old woman was admitted for severe hypertension. During her stay, she presented an acute myocardial infarction with normal coronary angiography. After a flank pain, a contrast-enhanced abdominal computed tomography scan was performed which revealed a stenosis of the left main renal artery. However, renal angiography displayed a thrombosis. Transesophageal echocardiography showed a mobile mass attached to the mitral valve. A diagnosis of renal artery thrombosis and acute myocardial infarction both resulting from a cardiac tumour embolism was established.
authors.affiliation: Department of Cardiology, University Hospital, Grenoble, France. lboggettograham@chu-grenoble.fr
authors.forename: Laetitia
authors.initials: L
authors.lastname: Boggetto-Graham
authors.forename: Olivier
authors.initials: O
authors.lastname: Chavanon
authors.forename: Rachid
authors.initials: R
authors.lastname: Hacini
authors.forename: Frédéric
authors.initials: F
authors.lastname: Thony
authors.forename: Mathieu
authors.initials: M
authors.lastname: Rodière
authors.forename: Sylvie
authors.initials: S
authors.lastname: Lantuejoul
authors.forename: Dimitri
authors.initials: D
authors.lastname: Salameire
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Baguet
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D006348:Cardiac Surgical Procedures / Q000379:methods; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal / Q000379:methods; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D006222:Hamartoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology*; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging / Q000379:methods; D008943:Mitral Valve / Q000473:pathology* / Q000601:surgery; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D011689:Purkinje Cells / Q000473:pathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome