HYPERTENSION SECONDARY TO ANEURYSM OF THE RENAL ARTERY: REPORT OF A CASE OF LONG DURATION CURED BY NEPHRECTOMY
Authors: Richard L. Klein, John A. Mcchesney
Journal: Annals of Internal Medicine (1961)

Case Reports1 February 1961HYPERTENSION SECONDARY TO ANEURYSM OF THE RENAL ARTERY: REPORT OF A CASE OF LONG DURATION CURED BY NEPHRECTOMYRICHARD L. KLEIN, M.D., JOHN A. MCCHESNEYRICHARD L. KLEIN, M.D.Search for more papers by this author, JOHN A. MCCHESNEYSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-2-292 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSince the classic experiments of Goldblatt,1 interest in the renal origin of hypertension has increased greatly, in part because hypertension occurring in association with unilateral renal disease is potentially curable by removal of the involved organ. Unilateral renal arterial disease, though less commonly associated with hypertension than is unilateral pyelonephritis, has been associated with a much higher rate of cured hypertension following nephrectomy. The general opinion, as reflected by Thompson and Smithwick,2 is that renal arterial lesions represent the closest clinical counterpart to the experimental Goldblatt kidney.Characteristically, patients with renal arterial disease have an abrupt onset of hypertension. Flank...Bibliography1. Goldblatt H: Studies on experimental hypertension. V. The pathogenesis of experimental hypertension due to renal ischemia. Ann. Intern. Med. 11: 69, 1937. LinkGoogle Scholar2. ThompsonSmithwick JERH: Human hypertension due to unilateral renal disease with special reference to renal artery lesions. Angiology 3: 493, 1952. CrossrefMedlineGoogle Scholar3. PereraHeilig GAAW: Clinical characteristics of hypertension associated with unilateral renal disease. Circulation 6: 549, 1952. CrossrefMedlineGoogle Scholar4. PastorMyersonWohlRouse BHRMGTPV: Hypertension associated with renal artery aneurysm and relieved by nephrectomy. Ann. Intern. Med. 42: 1122, 1955. LinkGoogle Scholar5. HymanLeiter AHE: Essential hypertension associated with unilateral disease of the kidneys. J. Mt. Sinai Hosp. 12: 335, 1945-46. Google Scholar6. HowardBertrongGouldYendt JEMDMER: Hypertension resulting from unilateral renal vascular disease and its relief by nephrectomy. Bull. Johns Hopkins Hosp. 94: 51, 1954. MedlineGoogle Scholar7. SchafferMarkowitz AJM: Hypertension treated by nephrectomy: a report of 4 additional cases and re-evaluation of prognosis and criteria for operation. Amer. J. Med. Sci. 227: 417, 1954. CrossrefMedlineGoogle Scholar8. Smith HW: Unilateral nephrectomy in hypertensive disease. J. Urol. 76: 685, 1956. CrossrefMedlineGoogle Scholar9. PoutasseDustan EFHP: Arteriosclerosis and renal hypertension. Indications for aortography in hypertensive patients and results of surgical treatment of obstructive lesions of renal artery. J. A. M. A. 165: 1521, 1957. CrossrefMedlineGoogle Scholar10. StokesButcher JMHR: Complications of translumbar aortography related to site of injection. Arch. Surg. 75: 770, 1957. CrossrefGoogle Scholar11. CrawfordBeallMoyerDeBakey ESACJHME: Complications of aortography. Surg., Gynec., Obstet. 104: 129, 1957. MedlineGoogle Scholar12. Seldinger SI: Catheter replacement of the needle in precutaneous arteriography. Acta radiol. 39: 368, 1953. CrossrefMedlineGoogle Scholar13. MuellerSurtshinCarlinWhite CBAMRHL: Glomerular and tubular influences on sodium and water excretion. Amer. J. Physiol. 165: 411, 1951. CrossrefMedlineGoogle Scholar14. Braasch WF: End results following nephrectomy in patients with hypertension. J. Urol. 68: 6, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 28, 1959.From the Department of Medicine, Washington University School of Medicine, the Barnes Hospital, St. Louis, Missouri, and the Scott Air Force Base Hospital, Illinois.Requests for reprints should be addressed to Captain Richard L. Klein, (MC), U. S. Army Hospital, Fort Campbell, Ky.†A brief summary of this case appears in a review by Cordonnier of seven patients with unilateral renal artery disease and hypertension (J. Urol. 82: 1-9, 1959). PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAneurysms of the Renal Artery: A Study of 20 CasesRenal Artery Aneurysms; Their Diagnosis and Endocrine Implications: A Case Report in a ChildAneurysm of the renal artery 1 February 1961Volume 54, Issue 2Page: 292-300KeywordsAneurysmsHospital medicineHypertensionKidneysLesionsNephrectomyPyelonephritisRenal arteriesRenal diseasesSecondary hypertension ePublished: 1 December 2008 Issue Published: 1 February 1961 PDF downloadLoading ...