Case report of secondary hypertension due to renal artery stenosis in young patient

Wendy M. Saragih, Siska Sulistiowati, Nur Haryono, Bambang B. Siswanto, Nani Hersunarti, Amiliana M. Soesanto



DOI: https://doi.org/10.13181/mji.v23i2.666

Abstract


Secondary hypertension is rare to occur, but should become suspicion in young age. Secondary hypertension must be appropriately diagnosed and treated. Renal artery stenosis is one of many causes of secondary hypertension. The aim of this case report is to describe diagnosis, pathophysiology and management of secondary hypertension due to renal artery stenosis in young patient. A 17 year old man with symptom of shortness of breath was diagnosed with hypertension stage 3 on his medical examination at Pasar Rebo Hospital, Jakarta. Abdominal CT scan examination revealed bilateral renal artery stenosis. Percutaneous transluminal angiography (PTA) of left renal artery was performed at National Cardiovascular Centre Harapan Kita. Stent was placed succesfully and the blood pressure was normalized.

Keywords


renal artery stenosis; secondary hypertension; young age

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References


  1. Onusko E. Diagnosing secondary hypertension. Am Fam Physician. 2003;67(1):67-74.
  2. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013;34(28):2159-219. http://dx.doi.org/10.1093/eurheartj/eht151
  3. Chiong JR, Aronow WS, Khan IA, Nair CK, Vijayaraghavan K, Dart RA, et al. Secondary hypertension: current diagnosis and treatment. Int J Cardiol. 2008;124(1):6-21. http://dx.doi.org/10.1016/j.ijcard.2007.01.119
  4. Kaplan NM. Renovascular Hypertension. In: Kaplan NM, editor. Kaplan's Clinical Hypertension. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 683-733.
  5. Jaff MR. Hypertension and renal artery stenosis: a complex clinical scenario. J Am Osteopath Assoc. 2000;100(10 Su Pt 2):S5-9.
  6. Viera AJ, Neutze DM. Diagnosis of secondary hypertension: an age-based approach. Am Fam Physician. 2010;82(12):1471-8.
  7. Elliott WJ. Secondary Hypertension: Renovascular Hypertension. In: Black HR, Elliott WJ, editors. Hypertension: a companion to Braunwald's Heart Disease. 1st ed. Philadelphia: SaunderElsevier; 2007. p. 93-105. http://dx.doi.org/10.1016/B978-1-4160-3053-9.50014-7
  8. Bloch MJ, Basile J. Diagnosis and management of renovascular disease and renovascular hypertension. J Clin Hypertens (Greenwich). 2007;9(5):381-9. http://dx.doi.org/10.1111/j.1524-6175.2007.06573.x
  9. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review. J Clin Pathol. 2002;55(7):481-6. http://dx.doi.org/10.1136/jcp.55.7.481
  10. Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager M a, Halperin JL, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary: a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, * Society for CardiovascularAngiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force onPractice Guidelines (Writing Committee to Develop Guidelines for The Management of Patients With Peripheral Arterial Disease). Circulation. 2006;113(11):e463-654. http://dx.doi.org/10.1161/CIRCULATIONAHA.106.174526





Copyright (c) 2014 Wendy M. Saragih, Siska Sulistiowati, Nur Haryono, Bambang B. Siswanto, Nani Hersunarti, Amiliana M. Soesanto

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