Renovascular Hypertension and Nephrotic Range Proteinuria Developed after the Renal Artery Ligation: Successful Treatment by Combination of ACE Inhibitor and Angiotensin II Type 1 Receptor Blocker.
- Author:
Se Won OH
1
;
Sun Chul KIM
;
Jin Joo CHA
;
Myung gyu KIM
;
Young Seok WOO
;
Chang Su BOO
;
Sang Kyung JO
;
Won Yong CHO
;
Hyoung Kyu KIM
Author Information
1. Department of Internal medicine, Korea University Collage of Medicine, Korea University Medical Center, Seoul, Korea. sang-kyung@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Hypertension;
Renovascular;
Proteinuria;
ACE inhibitors;
Angiotensin II type I receptor blockers
- MeSH:
Adult;
Aldosterone;
Angiography;
Angiotensin II;
Angiotensin-Converting Enzyme Inhibitors;
Angiotensins;
Captopril;
Female;
Humans;
Hypertension;
Hypertension, Renovascular;
Kidney;
Ligation;
Perfusion;
Plasma;
Proteinuria;
Receptor, Angiotensin, Type 1;
Renal Artery;
Renin
- From:Korean Journal of Nephrology
2009;28(3):230-235
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 27-year-old woman presented with severe hypertension and nephrotic range proteinuria. She had a blunt renal trauma 4 weeks ago and was treated by the left main renal artery ligation. The plasma renin activity, angiotension II and aldosterone levels were very high and the abdominal angiography showed the occlusion of the left main renal artery with relatively preserved blood flow in upper pole of the left kidney. In captopril renal scan, relatively preserved perfusion in upper pole of left kidney was further compromised after captopril administration. The massive proteinuria and hypertension were improved after combination of ACE inhibitor and angiotensin II type 1 receptor blocker treatment.
