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An Unusual Case of Resistant Hypertension Secondary to Fibromuscular Dysplasia.


ABSTRACT: A 28-year-old woman with resistant hypertension was given a diagnosis of fibromuscular dysplasia with 100% occlusion of a right renal artery branch supplying an atrophied lower pole, collateralized by the right adrenal artery. Successful adrenal collateral coil embolization restored normotension, but hypertension recurred, necessitating right partial heminephrectomy with blood pressure normalization off medications. (Level of Difficulty: Intermediate.).

SUBMITTER: Ali W 

PROVIDER: S-EPMC8304536 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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An Unusual Case of Resistant Hypertension Secondary to Fibromuscular Dysplasia.

Ali Waleed W   Nathan Sandeep S   Funaki Brian B   Eggener Scott S   Bakris George G  

JACC. Case reports 20201028 15


A 28-year-old woman with resistant hypertension was given a diagnosis of fibromuscular dysplasia with 100% occlusion of a right renal artery branch supplying an atrophied lower pole, collateralized by the right adrenal artery. Successful adrenal collateral coil embolization restored normotension, but hypertension recurred, necessitating right partial heminephrectomy with blood pressure normalization off medications. (<b>Level of Difficulty: Intermediate.</b>). ...[more]

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