Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis

Bilateral renal artery stenosis.

A 49-year-old Hispanic female was admitted to the hospital with sepsis and an infected upper extremity arteriovenous fistula dialysis port. Her medical history was significant for dialysis-dependent, endstage renal disease for the previous six years. Additional history was limited due to language barriers but included hypertension and hyperlipidemia. Blood cultures from admission grew Staphyloc...

Bilateral renal artery stenosis after renal denervation.

Renal Artery Stenosis in the Hypertensive Patient

• Objective: To review the diagnostic approach and therapeutic options for renal artery stenosis (RAS) in the patient with hypertension. • Methods: Qualitative assessment of the literature. • Results: RAS is a common secondary cause of hypertension. Factors associated with an increased risk for RAS have been identified. A useful diagnostic approach for evaluating the hypertensive patient at inc...

Hypertensive encephalopathy complicating transplant renal artery stenosis.

A 26-year-old female diabetic patient developed hypertensive encephalopathy with gross neurological abnormalities complicating renal artery stenosis of her transplant kidney. The elevated blood pressure was unresponsive to medical treatment. Surgical correction of the stenoses in the renal artery cured the hypertension and renal failure and led to the patient's complete recovery.

Recurrent Pleural Effusion as a Result of Bilateral Renal Artery Stenosis. Does Renal Revascularization Help?

Renal artery stenosis (RAS) is the leading cause of secondary hypertension. Renal artery stenosis can result in various cardiopulmonary complications mostly through activation of neurohormonal pathways that result in fluid overload and systemic hypertension. We herein describe a 72-year-old man with recurrent rapidly accumulating transudative pleural effusion in a patient with severe bilateral ...