Coexistence of Renal Artery Aneurysm and Stenosis in The Course of Arterial Hypertension - Case Report

Abstract

Stenosis of renal artery is the one of most frequent reasons of secondary arterial hypertension. The role of stenosis in arterial hypertension patogenesis is well known and proved. Other rare pathology in renal artery is an aneurysm. Investigators differ in their opinions about the role of aneurysm in patogenesis of arterial hypertension and it reqire extensive studies.
In this publication we described a case of 31 years old woman hospitalized with refractory arterial hypertension. Radiological examinations revealed coegsisting renal artery aneurysm and stenosis. Transcutaneus intra-arterial angioplasty of stenosis was performed. The aneurysm was not qualified to treatment becouse of its size. After surgery the blood pressure was considerably lower and pharmacological treatment was also significant reduced.