Autotranspiantation and Stent Implantation for Bilateral Renal Artery Fibromuscular Dysplasia

Yuka Kyoraku; Johji Kato; Yuichi Nishi; Toshihiro Kita; Kazuo Kitamura; Mikio Asato; Shozo Tamura; Kazunari Tanabe; Hiroshi Toma; Tanenao Eto

doi:10.1291/hypres.22.141

Yuka Kyoraku, Johji Kato, Yuichi Nishi, Toshihiro Kita, Kazuo Kitamura, Mikio Asato, Shozo Tamura, Kazunari Tanabe, Hiroshi Toma, Tanenao Eto

Author information

Yuka Kyoraku
the First Department of Internal Medicine
Johji Kato
the First Department of Internal Medicine
Yuichi Nishi
the First Department of Internal Medicine
Toshihiro Kita
the First Department of Internal Medicine
Kazuo Kitamura
the First Department of Internal Medicine
Mikio Asato
Department of Radiology, Miyazaki Medical College
Shozo Tamura
Department of Radiology, Miyazaki Medical College
Kazunari Tanabe
Department of Urology, Tokyo Women's Medical College
Hiroshi Toma
Department of Urology, Tokyo Women's Medical College
Tanenao Eto
the First Department of Internal Medicine

Keywords: renovascular hypertension, fibromuscular dysplasia, autotransplantation, angioplasty, stent

JOURNAL FREE ACCESS

1999 Volume 22 Issue 2 Pages 141-143

DOI https://doi.org/10.1291/hypres.22.141

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Abstract

A 36-yr-old male was found to have renovascular hypertension due to an occluded right renal artery and 70% stenosis in the left renal artery, caused by fibromuscular dysplasia. The right kidney was supplied by collateral blood flow, and secreted more renin than the left kidney. Two differential therapeutic approaches were taken: autotransplantation for the right kidney and percutaneous transluminal renal angioplasty followed by stent implantation for the left. The renovascular hypertension was treated with these therapies, preserving renal function in this patient. (Hypertens Res 1999; 22: 141-143)

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