An Unusual Case of Resistant Hypertension Secondary to Fibromuscular Dysplasia

Abstract

A 28-year-old woman with resistant hypertension was given a diagnosis of fibromuscular dysplasia with 100% occlusion of a right renal artery branch supplying an atrophied lower pole, collateralized by the right adrenal artery. Successful adrenal collateral coil embolization restored normotension, but hypertension recurred, necessitating right partial heminephrectomy with blood pressure normalization off medications. (Level of Difficulty: Intermediate.)

Keywords

• arterial embolization
• fibromuscular dysplasia
• partial nephrectomy
• resistant hypertension