Vol 15, No 4 (2011)
Case report
Published online: 2011-10-05

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Stenosis of an artery supplying graft in kidney recipient as a cause of secondary hypertension

Alina Bętkowska-Prokop, Agnieszka Olszanecka, Kalina Kawecka-Jaszcz, Marek Krzanowski, Łukasz Drelicharz
Nadciśnienie tętnicze 2011;15(4):258-262.

Abstract

Arterial hypertension in kidney transplant recipients is an important clinical problem. Hypertension is one of the risk factors significantly limiting longevity and graft function. Stenosis of an artery supplying the transplanted kidney is one of the reasons responsible for blood pressure elevation in kidney transplant recipients. In cases of new hypertension or exacerbation of pre-existing hypertension, shortly after transplantation, renal artery stenosis should be suspected. Computed tomography angiography and/or MRI angiography are considered the gold standard methods in the diagnostic evaluation of transplanted kidney artery stenosis.
The article presents the case of young female patient, kidney transplant recipient, in whom the stenosis of external right iliac artery, supplying the transplanted kidney was diagnosed.
The challenges of diagnostic evaluation and treatment were presented in reference to existing guidelines.
Arterial Hypertension 2011, vol. 15, no 4, pages 258–262.

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