Renin dependent hypertension by dissecting aortic aneurysm. A case report.

A 49-year-old female patient with dissecting aortic aneurysm and severe hypertension was reported. Aortogram revealed dissection of De Bakey type IIIb, which extended to the iliac artery and caused occlusion of the left renal artery. Peripheral plasma renin activity was extremely elevated and 1-Sar-8-Ile-angiotensin II produced a marked fall in blood pressure. The patient was treated conservatively with antihypertensive agents for about 4 years from July, 1974 to October, 1978 when she died suddenly in an early morning.