MOTS CLÉS Hypertension artérielle secondaire ; Anévrisme artériel rénal ; Adénome de Conn ; A 58-year-old woman presented with resistant hypertension and hypokalaemia. Biological primary hyperaldosteronism was detected: aldosterone to renin ratio, 37.5; 24-hour urine aldosterone excretion, 25 g. Computed tomography (Fig. 1) diagnosed a right adrenal adenoma (26mm diameter) coexisting with a hom...

Hypertension poses growing challenge for health policy-makers and doctors worldwide. Recently published results of Symplicity-III trial (HTN-3), the first blinded, randomized, multicenter study on the efficacy of renal denervation for the treatment of resistant hypertension did not show a significant reduction of BP in patients with resistant hypertension 6 months after renal-artery denervation...

Atherosclerotic renal artery stenosis affects between 2 and 4 million people in the United States alone and likely has a higher prevalence than previously thought. Renal artery stenosis has been increasingly recognized in recent years, especially in patients with cardiovascular disease. It has been associated with hypertension, renal dysfunction, and sudden onset of pulmonary edema. Patients wi...

A 68-year-old woman with family history of fibromatous skin lesions was referred for the evaluation of hypertension. With detection of multiple fibromatous skin lesions and café au lait spots, a diagnosis of von Recklinghausen’s disease was made. Because she had not undergone regular physical examination, the history of hypertension was unknown. Findings of bilateral paravertebral calcified rou...

A 53-year-old male was found to have hypertension caused by the significant secretion of renin from an atrophic left kidney. He had undergone extracorporeal shock-wave lithotripsy (ESWL) for left renal lithiasis 11 years previously. A renal dynamic study with 99mTc-diethylenetriaminepentaacetic acid (DTPA) indicated that the rate of renal excretion and uptake was decreased in the left kidney an...

Introduction Hypertension affects up to 65 million adults in the United States. A small subset of these patients have renovascular hypertension due to obstruction of the renal arteries. Fortunately, this type of hypertension can be corrected with treatment of the offending renal artery stenosis. Many hypertensive patients are referred for duplex ultrasound to screen for the presence of renal ar...

the renal transplantation program in iran had substantially been lagged behind in comparison to hemodialysis until 1985. between 1979-1984, due to lack of the facilities, over 400 iranian patients went abroad and underwent renal transplantation there. in order to evaluate the outcome of these transplants, all medical records of a nephrology clinic between the years 1978-1990 were reviewed and t...

Renal Artery Stenosis is a common treatable cause of hypertension and is on the increase in the present population due to atherosclerosis and associated risk factors. Current treatment measures include lifestyle with medical management, revascularization using angioplasty (+/− stenting) and bypass surgery. Peripheral artery subintimal angioplasty was initially described in 1987. It is a well-kn...

The classical work of Goldblatt (1934 and 1937) and of Wilson and Byrom (1939), demonstrating the development of hypertension following unilateral renal ischmmia and the return of the blood pressure to normal following removal of the renal lesion, gave a great stimulus to the clinical study of hypertension. As a result it is clear that in man, as in the experimental animal, renal ischemia gives...