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Spontaneous Reestablishment of Renal Function After Complete Occlusion of a Renal Artery
Saul J. Dobrzinsky, MD;
Erich Voegeli, MD;
Harry A. Grant, MD;
Albert R. Christlieb, MD;
Herbert L. Abrams, MD;
Roger B. Hickler, MD
Arch Intern Med. 1971;128(2):266-268.
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Renal artery stenosis does not necessarily cause hypertension in man.1,2 Even stenosis of over 50% of the luminal diameter has been found in normotensive patients. On the other hand total renal arterial occlusion is associated with renal ischemia and is considered capable of producing renovascular hypertension. We have recently examined a patient who suddenly became hypertensive in 1966 and in whom a nonfunctioning left kidney was shown by urography. A subsequent arteriogram demonstrated a complete left renal artery occlusion. One and one half years later sufficient collateral circulation had developed to permit good function in the diseased kidney and a normal intravenous pyelogram. The hypertension improved markedly, and renal vein renin activity was normal.
Patient Summary
A 47-year-old black housewife was referred to the Peter Bent Brigham Hospital in 1968 for evaluation of hypertension of 1 years' duration. She gave a history of recurrent edema of the face,
. . . [Full Text PDF of this Article]
Author Affiliations
Boston
From the departments of medicine and radiology, Harvard Medical School and Peter Bent Brigham Hospital, Boston.
Footnotes
Received for publication March 11, 1970; accepted March 22, 1971.
Reprint requests to Research Editors, Department of Radiology, Peter Bent Brigham Hospital, Boston 02115 (Mrs. Sally Ann Edwards).
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