ANOMALOUS RENAL ARTERY IS POTENTIAL CAUSE OF RESISTANT HYPERTENSION IN A 53 YEAR OLD PATIENT: CASE REPORT.

Busari A.A and Bello B.T

Available online Jul 18, 2018.

[ Report ] Volume 25, Issue 2, 2016, Pages 192-196


Abstract

BACKGROUND:
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.
CASE REPORT:
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.
CONCLUSION:
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.


Keywords

Renal artery, anomalous, resistant hypertension, stenosis,

April-June 2016

Volume 25 | Issue 2

Page Nos. 192-196

Online since Jul 12, 2018

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