Available online Jul 18, 2018.
[ Report ] Volume 25, Issue 2, 2016, Pages 192-196
Drug-resistant hypertension can be attributable to secondary hypertension and other causes. Anomalous renal
artery is uncommon but can be a potential cause of resistant hypertension.
We highlight the challenges in management of resistant hypertension and describe its unusual association with
renal artery anomaly in 53 years old man who was referred to our nephrology clinic from a peripheral general
hospital on account of poorly controlled hypertension. At presentation, BP was severely elevated at 208/100mmHg
but no remarkable findings in the rest of the examination. Several investigations done including abdominal
ultrasound scan and Computerised Tomography (CT) Renal angiogram revealed a Left anomalous renal artery.
Patient declined all suggested urologic interventions and he was then managed conservatively.
We found that anomalous renal arteries can be a potential cause of resistant hypertension. We therefore
recommend ultrasound scan of the abdomen as a screening modality due to its being non-invasive.
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Volume 25 | Issue 2
Page Nos. 192-196
Online since Jul 12, 2018