Abdominal aortic aneurysm of unknown origin and renovascular hypertension in a 25 year old male.
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- HIRATA Yoshihiko
- Department of Internal Medicine Fukuoka University School of Medicine
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- SAKU Keijiro
- Department of Internal Medicine Fukuoka University School of Medicine
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- SASAGURI Manabu
- Department of Internal Medicine Fukuoka University School of Medicine
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- HIGASHI Yoshitaka
- Department of Radiology Fukuoka University School of Medicine
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- IKEDA Masaharu
- Department of Internal Medicine Fukuoka University School of Medicine
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- ARAKAWA Kikuo
- Department of Internal Medicine Fukuoka University School of Medicine
抄録
A 25 year old male had an abdominal aortic aneurysm involving bilateral renal arteries. Aortography revealed no irregularity in the aortic wall but a slight kinking at the tenth thoracic level followed by a fusiform aneurysm. Computed tomography (CT) showed an enlarged aortic lumen with an intraluminal thrombus. Plasma renin activity (PRA) was markedly increased (11ng/ml/h), and the administration of captopril caused a further increase in PRA with a significant reduction in blood pressure, indicating the presence of renovascular hypertension. Abdominal aneurysm in a young adult is very rare. The etiology of the aneurysm appears to be idiopathic.
収録刊行物
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- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
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Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 30 (2), 257-262, 1989
International Heart Journal刊行会
