A Case of Renovascular Hypertension Due to Bilateral Renal Artery Microaneurysm Who Succeeded in Baby Delivery.

  • ITO Akinori
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • SHIMANO Yasunobu
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • OTSUKA Yasuhiro
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • KATO Masako
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • USAMI Takeshi
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • TAKEUCHI Oki
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • KOYAMA Katsushi
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • MOROZUMI Kunio
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School
  • SANO Takahisa
    Department of Internal Medicine, Chubu Rosai Hospital
  • FUKAZU Atsushi
    First Department of Internal Medicine, Aichi Medical College
  • KIMURA Genjiro
    Third Department of Internal Medicine and Pathophysiology, Nagoya City University Medical School

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Abstract

We report the case of a young pregnant woman with bilateral renovascular hypertension due to renal microaneurysms from an unknown cause, who had a successful delivery. Pregnancy did not affect the disease activity even in the postpartum period. Her blood pressure was maintained within the normal range by administration of labetalol. Although the angiographic appearance of the symmetrical aneurysms in both renal artery beds from the interlobular to arcuate artery levels suggested polyarteritis nodosa of multiple microaneurysms in the bilateral interlobular arteries, the clinical features suggested other causes of renovascular hypertension, such as fibromuscular dysplasia and/or congenital microaneurysms. We were thus unable to reach a definitive diagnosis. (Hypertens Res 2001; 24: 83-85)

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