An Uncommon Cause of Renovascular Hypertension

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• 作者：Laetitia Boggetto-Graham ; MD^a ; ^{lboggettograham@chu-grenoble.fr} ; Olivier Chavanon ; MD ; PhD^b ; Rachid Hacini ; MD^b ; Fré ; dé ; ric Thony ; MD^c ; Mathieu Rodiè ; re ; MD^c ; Sylvie Lantuejoul ; MD ; PhD^d ; Dimitri Salameire ; MD^d ; Jean-Philippe Baguet ; MD ; PhD^a ; ^e
• 刊名：Canadian Journal of Cardiology
• 出版年：2012
• 出版时间：May-June, 2012
• 年：2012
• 卷：28
• 期：3
• 页码：397.e1-397.e3
• 全文大小：1783 K

文摘

Renovascular hypertension is usually due to an atherosclerotic artery stenosis or a fibromuscular dysplasia. We describe an uncommon cause of renal ischemia. A 66-year-old woman was admitted for severe hypertension. During her stay, she presented an acute myocardial infarction with normal coronary angiography. After a flank pain, a contrast-enhanced abdominal computed tomography scan was performed which revealed a stenosis of the left main renal artery. However, renal angiography displayed a thrombosis. Transesophageal echocardiography showed a mobile mass attached to the mitral valve. A diagnosis of renal artery thrombosis and acute myocardial infarction both resulting from a cardiac tumour embolism was established.