The Canadian journal of cardiology · 2012
An uncommon cause of renovascular hypertension.
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Boggetto-Graham Laetitia, Chavanon Olivier, Hacini Rachid, Thony Frédéric, Rodière Mathieu, Lantuejoul Sylvie, Salameire Dimitri, Baguet Jean-Philippe
Аннотация
Renovascular hypertension is usually due to an atherosclerotic artery stenosis or a fibromuscular dysplasia. We describe an uncommon cause of renal ischemia. A 66-year-old woman was admitted for severe hypertension. During her stay, she presented an acute myocardial infarction with normal coronary angiography. After a flank pain, a contrast-enhanced abdominal computed tomography scan was performed which revealed a stenosis of the left main renal artery. However, renal angiography displayed a thrombosis. Transesophageal echocardiography showed a mobile mass attached to the mitral valve. A diagnosis of renal artery thrombosis and acute myocardial infarction both resulting from a cardiac tumour embolism was established.
Предметные рубрики MeSH
AgedBiopsy, NeedleCardiac Surgical ProceduresCoronary AngiographyEchocardiography, TransesophagealEmergency TreatmentFemaleFollow-Up StudiesHamartomaHeart NeoplasmsHeart Valve Prosthesis ImplantationHumansHypertension, RenovascularImmunohistochemistryMagnetic Resonance ImagingMitral ValveMyocardial InfarctionPurkinje CellsRisk AssessmentSeverity of Illness IndexTime FactorsTreatment Outcome