Accessory renal arteries-a source of hypertension:A case report  

作　　者：Amalia Calinoiu Elena-Cristina Guluta Adina Rusu Alexandra Minca Dragos Minca Luminita Tomescu Valeriu Gheorghita Dana Galieta Minca Lucian Negreanu 

机构地区：[1]Department of Internal Medicine,Prof.Dr.Agrippa Ionescu Emergency Clinical Hospital,Bucuresti 011356,București,Romania [2]Department of Gastroenterology,Bucharest University Emergency Hospital,Bucharest 050098,Romania [3]Department of Internal Medicine Clinic,Bucharest University Emergency Hospital,Bucharest 050098,Romania [4]Department of Rheumatology Clinic,Center of Rheumatic Disease"Dr.Ion Stoia",Bucharest 030167,Romania [5]Department of Radiology Clinic,Prof.Dr.Agrippa Ionescu Clinical Emergency Hospital,Bucharest 011356,Romania [6]Department of Infectious Disease Clinic,Prof Dr.Agrippa Ionescu Clinical Emergency Hospital,Bucharest 011356,Romania [7]Department of Public Health and Management,Carol Davila University of Medicine and Pharmacy,Bucharest 020021,Romania [8]Department of Gastroenterology,Carol Davila University of Medicine and Pharmacy,Bucharest 020021,Romania

出　　处：《World Journal of Clinical Cases》2023年第7期1506-1512,共7页世界临床病例杂志

摘　　要：BACKGROUND Secondary hypertension is a relatively rare condition most commonly caused by renovascular disease due to atherosclerotic vascular disease or fibromuscular dysplasia.Although accessory renal arteries are frequent,to date,only six cases of secondary hypertension determined by their existence have been reported.CASE SUMMARY We describe a case of a 39-year-old female who came to the emergency department with an urgent hypertensive crisis and hypertensive encephalopathy.Despite normal renal arteries,the computed tomography angiography revealed an inferior polar artery with 50%stenosis of its diameter.Conservative treatment with amlodipine,indapamide and perindopril was adopted,leading to blood pressure control within one month.CONCLUSION To the best of our knowledge,there are controversies regarding accessory renal arteries as a potential etiology for secondary hypertension,but the seven similar cases already described,along with the current case,could reinforce the necessity of more studies concerning this subject.

关 键 词：Accessory artery Secondary hypertension Renal artery stenosis Renovascular disease Risk factor Young patients Case report 

分 类 号：R544.1[医药卫生—心血管疾病]