title: Endovascular treatment of a rare cause of secondary hypertension in an elderly woman.
abstract: A 70-year-old woman on four antihypertensive drugs including diuretics presented with accelerated hypertension and acute pulmonary oedema. She had a bounding brachial pulse with feeble femoral pulses. A 256 slice CT scan revealed the presence of severe diffuse thoracoabdominal atherosclerosis. Cardiac catheterisation revealed 125 mm Hg gradient across the atherosclerotic segment at the level of thoracic 10-11 vertebrae. A self-deploying stent was implanted in the thoracoabdominal segment reducing the gradient across the disease segment to 20 mm Hg with a significant improvement in the luminal diameter of the aorta. Her upper limb blood pressure normalised on two antihypertensive drugs 6 weeks later.
authors.affiliation: Department of Cardiology, MH (CTC), Pune, Maharashtra, India.
authors.forename: Davinder
authors.initials: D
authors.lastname: Chadha
authors.affiliation: Department of Cardiology, MH (CTC), Pune, Maharashtra, India.
authors.forename: Susheel
authors.initials: S
authors.lastname: Malani
authors.affiliation: Department of Cardiology, MH (CTC), Pune, Maharashtra, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Hasija
authors.affiliation: Department of Cardiology, MH (CTC), Pune, Maharashtra, India.
authors.forename: A J
authors.initials: AJ
authors.lastname: Naveen
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001027:Aortography; D050197:Atherosclerosis / Q000150:complications* / Q000601:surgery; D001794:Blood Pressure; D001795:Blood Pressure Determination; D006328:Cardiac Catheterization; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D011654:Pulmonary Edema / Q000209:etiology / Q000601:surgery; D011674:Pulse; D015607:Stents
chemical_list: D000959:Antihypertensive Agents