Refractory Hypertension in a Young Woman

A 36-year-old woman was referred for the evaluation of refractory arterial hypertension with vasculorenal profile. Abdominal multislice computed tomography angiography (MSCT-angiography) was performed for further evaluation. Bilateral renal artery involvement was demonstrated with aneurysms, stenoti...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2011-06, Vol.77 (6), p.1341-1342
Main Authors: Olea-Comas, Isabel, Domínguez-Pérez, Ángel, Nacarino-Mejías, Verónica, Iribarren-Marín, María Alcázar
Format: Article
Language:English
Subjects:
Adult
Angiography - methods
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Constriction, Pathologic
Female
Fibromuscular Dysplasia - complications
Humans
Hypertension - diagnosis
Hypertension - therapy
Imaging, Three-Dimensional
Medical sciences
Nephrology. Urinary tract diseases
Renal Artery - pathology
Tomography, X-Ray Computed - methods
Urology
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Summary:A 36-year-old woman was referred for the evaluation of refractory arterial hypertension with vasculorenal profile. Abdominal multislice computed tomography angiography (MSCT-angiography) was performed for further evaluation. Bilateral renal artery involvement was demonstrated with aneurysms, stenotic segments, and a string-of-beads-appearance in the right renal artey. We discuss the occurrence of fibromuscular dysplasia as a cause of refractory hypertension in young women and the increasing importance of MSCT studies for its diagnosis.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2010.04.029