title: Fibromuscular dysplasia--a rare cause of renovascular hypertension. Case study and overview of the literature data.
abstract: Renal artery stenosis (RAS) is associated with increased cardiovascular mortality and morbidity and may constitute a treatable cause of secondary hypertension. Fibromuscular dysplasia is frequently affecting children as the main cause of RAS, but is very rare in adults. We present the case of a 19-year-old overweight patient, with no known pathological conditions in her medical history or family background, admitted for severe, pulsing headaches during the past 3 months and increased blood pressure (BP) values for about a month (maximum BP 220/140 mmHg). The initial clinical exam and first-line imagistic methods did not provide a high suspicion for RAS. However, the invasive methods established the diagnosis of right renal artery medial dysplasia. Balloon angioplasty was the treatment of choice.
authors.affiliation: Cardiology Department, CC Iliescu Institute of Cardiovascular Diseases, Bucharest, Romania.
authors.forename: O
authors.initials: O
authors.lastname: Geavlete
authors.forename: C
authors.initials: C
authors.lastname: Călin
authors.forename: M
authors.initials: M
authors.lastname: Croitoru
authors.forename: I
authors.initials: I
authors.lastname: Lupescu
authors.forename: C
authors.initials: C
authors.lastname: Ginghină
mesh_terms: D015901:Angiography, Digital Subtraction; D001794:Blood Pressure; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D055815:Young Adult