Renovascular hypertension following surgical repair of dissecting aneurysm of the thoracic aorta

Eric A. Rose; Kathleen W. McNicholas; Morrison C. Bethea; William J. Casarella; David Bregman

doi:10.5555/uri:pii:0039606078902842

Brief clinical report| Volume 83, ISSUE 2, P235-237, February 1978

Renovascular hypertension following surgical repair of dissecting aneurysm of the thoracic aorta

Eric A. Rose, M.D.
Eric A. Rose
Affiliations
From the Departments of Surgery and Radiology, College of Physicians and Surgeons, Columbia University, Columbia-Presbyterian Medical Center, New York, N. Y. U.S.A.
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Kathleen W. McNicholas, M.D.
Kathleen W. McNicholas
Affiliations
From the Departments of Surgery and Radiology, College of Physicians and Surgeons, Columbia University, Columbia-Presbyterian Medical Center, New York, N. Y. U.S.A.
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Morrison C. Bethea, M.D.
Morrison C. Bethea
Affiliations
From the Departments of Surgery and Radiology, College of Physicians and Surgeons, Columbia University, Columbia-Presbyterian Medical Center, New York, N. Y. U.S.A.
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William J. Casarella, M.D.
William J. Casarella
Affiliations
From the Departments of Surgery and Radiology, College of Physicians and Surgeons, Columbia University, Columbia-Presbyterian Medical Center, New York, N. Y. U.S.A.
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David Bregman, M.D.
David Bregman
Correspondence
Reprint requests: David Bregman, M.D., Department of Surgery, Columbia-Presbyterian Medical Center, 630 W. 168th St., New York, NY 10032.
Affiliations
From the Departments of Surgery and Radiology, College of Physicians and Surgeons, Columbia University, Columbia-Presbyterian Medical Center, New York, N. Y. U.S.A.
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DOI:https://doi.org/10.5555/uri:pii:0039606078902842

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Abstract

A critically ill patient with refractory renovascular hypertension following successful intrathoracic repair of a type I aortic dissection was treated successfully with gelfoam embolization of the left kidney. Renal artery stenosis secondary to aortic dissection can exacerbate pre-existent hypertension in the preoperative or postoperative periods and can be diagnosed angiographically. Unilateral renal artery embolization may provide a safe alternative to nephrectomy for renovascular hypertension in cases where surgery is not feasible.

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Accepted: April 12, 1977

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DOI: https://doi.org/10.5555/uri:pii:0039606078902842

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Renovascular hypertension following surgical repair of dissecting aneurysm of the thoracic aorta

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