An Unusual Cure for Resistant Renovascular Hypertension: Cutting the Gordian Knot: A Case Report

Abstract

Renovascular hypertension is important cause of resistant hypertension in young. Fibromuscular dysplasia (FMD) is a rare cause of clinically significant renal artery stenosis. It is commoner in women, usually truncal or distal and typically multifocal, giving characteristic “string of beads” appearance on conventional angiography. Percutaneous transluminal angioplasty alleviates hypertension in up to 80% of such cases. We present a rare case of ostial, unifocal FMD in a 34-year-old male who presented with resistant hypertension. The patient was on nine antihypertensive drugs including diuretics. He became normotensive following nephrectomy and has maintained normal renal function and normotension off drugs on follow-up.

Keywords

• renal
• resistant hypertension
• renal hypertension
• fibromuscular dysplasia
• nephrectomy
• renal artery stenosis