[Surgical treatment of patients with symptomatic hypertension].

Symptomatic hypertension is observed in numerous patients with elevated blood pressure. Special attention is paid in the paper to the diagnosis of coarctation of the aorta, nonspecific aortitis and renovascular hypertension. The possibility of diagnosing these lesions by means of the routine diagnostic techniques is indicated. The experimence of surgical treatment of 476 patients with coarctation of the aorta demonstrates the efficiency of the surgical procedures. No postoperative mortality cases have been observed in the recent 5 years. Non-specific aortitis that is the second-frequent process diseasing the aorta has a polymorphous clinical pattern. Hypertension is the leading symptom of aortitis. The results of various reconstructive procedures prove their high efficacy in decreasing the hypertension in patients with aortitis. According to the author's data, renovascular hypertension is found in 54% of the patients examined only on an out-patient basis. Among 354 operations, 204 included a reconstructive procedure on the renal artery. The importance of proper rehabilitation of the postoperative patients is emphasized.