Congenital Solitary Kidney With Renovascular Hypertension Diagnosed by Means of Captopril-enhanced Renography and Magnetic Resonance Angiography
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- Hayashida Mie
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Watanabe Noboru
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Imamura Hiroshi
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Kumazaki Setsuo
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Kitabayashi Hiroshi
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Takahashi Wataru
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Uchikawa Shin-Ichiro
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Yazaki Yoshikazu
- First Department of Internal Medicine, Shinshu University School of Medicine
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- Kubo Keishi
- First Department of Internal Medicine, Shinshu University School of Medicine
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抄録
A 24 year-old woman had a congenital solitary kidney with renovascular hypertension due to fibromuscular dysplasia. She had been treated as having essential hypertension until she developed preeclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome at 28 weeks of gestation. Plasma renin activity and captopril test results did not indicate any abnormalities. However, renography revealed captopril-induced deterioration. Magnetic resonance angiography was also useful to detect renal artery stenosis. These findings were confirmed by renal angiography. After successful percutaneous transluminal renal angioplasty, her blood pressure and the pattern of captopril renography normalized. <br>
収録刊行物
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- International Heart Journal
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International Heart Journal 46 (2), 347-353, 2005
一般社団法人 インターナショナル・ハート・ジャーナル刊行会