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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2005, Number 2

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Rev Mex Angiol 2005; 33 (2)

Renovascular hypertension. Report of a case

Revilla CH, Parra DJR, Salado SF, Magadán SH
Full text How to cite this article

Language: Spanish
References: 6
Page: 67-69
PDF size: 137.37 Kb.


Key words:

Renovascular hypertension, surgical treatment, saphena vein.

ABSTRACT

Objectives: To take into consideration the possibility of renovascular hypertension in young patients, as well as the mention that the use of autological saphena vein continues being the graft that less complications has in spite of the coming of new synthetic grafts.
Background: The renovascular hypertension generally appears in young patients with negative familiar history of arterial hypertension.
Material and methods: Masculine patient of 19 years old, who presents renovascular hypertension with low answer to medical treatment, was put under surgery using autological saphena vein.
Results: The patient was operated with good evolution in the postoperating period, at present he is under our guidance and in the Cardiology Service.
Conclusions: Suspicion in young patients with risk factors, is to take into account, due to the effect that captopril produces. The surgical warning for these patients is the high incidence of complications. We recommend the aortorenal derivation with autological saphena vein by the low incidence of complications.


REFERENCES

  1. Bude, Rubin, Platt, Fechner, Adler. Pulsus tardus: its cause and potential limitations in detection of arterial stenosis. Rad 1994; 190: 779-84.

  2. Harrison. Lesiones vasculares renales. En: Isselbacher KJ, Braunwald E, Wilson JD, Martin JB, Fauci AS (Eds.). Principios de Medicina Interna. 13a Ed. Madrid, España: Interamericana McGraw-Hill; 1994; p. 1516-21.

  3. Guyton AC, Hall JE. Papel dominante de los riñones en la regulación a largo plazo de la presión arterial y en la hipertensión: el sistema integrado de control de la presión. Tratado de fisiología médica. 9a Ed. México, D.F.: McGraw-Hill Interamericana; 1997; p. 239-55.

  4. Deane. The cause of Pulsus tardus in arterial stenosis. Rad 1995; 194: 28-30.

  5. Mitty, Shapiro, Parsons, Silberzweig. Renovascular hypertension. Radiol Clin North Amer 1996; 34(5).

  6. Espino VJ. Hipertensión arterial. En: Ávila VJ (Ed.). Introducción a la cardiología. 13a Ed. México, D.F.: El Manual Moderno; 1997; p. 382-85.




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C?MO CITAR (Vancouver)

Rev Mex Angiol. 2005;33