Macroaneurysm in a Renal Fibromuscular Dysplasia | Zendy

Martin Kimmel | Zendy; T. Hupp | Zendy; Niko Braun | Zendy; Joerg Latus | Zendy; Mark Dominik Alscher | Zendy

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Macroaneurysm in a Renal Fibromuscular Dysplasia

Author(s) -

Martin Kimmel,

T. Hupp,

Niko Braun,

Joerg Latus,

Mark Dominik Alscher

Publication year - 2011

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.110.962993

Subject(s) - medicine , nephrology , fibromuscular dysplasia , vascular surgery , general surgery , renal artery , kidney , cardiac surgery

A 25-year-old woman presented with a headache. The general practitioner diagnosed hypertension 18 months previously, no regular antihypertensive medication was started, and the patient took bisoprolol as needed. There was no family history of hypertension.Physical examination revealed a blood pressure of 195/115 mm Hg in both arms. Renal function tests and serum potassium was normal. A renal ultrasound showed a slightly smaller left kidney. Renal artery duplex ultrasonography showed signs of a renal artery stenosis (narrowing and an aliasing effect in the left renal artery (Figure 1A arrow) with a peak velocity of …

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