Bilateral Nephrectomy for Hypertension
Authors: Margaret D. Bischel, David S. Gans, Benjamin H. Barbour
Journal: Annals of Internal Medicine (1972)

Letters, Comments, and Corrections1 October 1972Bilateral Nephrectomy for HypertensionMARGARET D. BISCHEL, M.D., F.A.C.P., DAVID S. GANS, M.D., BENJAMIN H. BARBOUR, M.D.MARGARET D. BISCHEL, M.D., F.A.C.P.Search for more papers by this author, DAVID S. GANS, M.D.Search for more papers by this author, BENJAMIN H. BARBOUR, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-77-4-656 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The paper "Urgent Bilateral Nephrectomy for Severe Hypertension" (1) reported eight patients with malignant hypertension. The interval between the onset of hemodialysis and nephrectomy was only 7 days in two patients and less than 6 weeks in seven. The other patient developed severe hypertension after several months of dialysis and then underwent bilateral nephrectomy. Two of these patients had predialysis serum creatinine levels of less than 9 mg/100 ml. Five patients had elevated renin concentrations, but the samples were collected after ultrafiltration during dialysis, before nephrectomy.Although bilateral nephrectomy has been shown to be followed by reduction...References1. LAZARUSHAMPERSBENNETT JCA: Urgent bilateral nephrectomy for severe hypertension. Ann Intern Med 76:733-739, 1972 LinkGoogle Scholar2. WEIDMANNMAXWELLLUPU PMA: Plasma renin activity and blood pressure in terminal renal failure. N Engl J Med 285:757-762, 1971 CrossrefMedlineGoogle Scholar3. ONESTISWARTZRAMIREZ GCO: Bilateral nephrectomy for control of hypertension in uremia. Trans Am Soc Artif Intern Organs 14:361-366, 1968 MedlineGoogle Scholar4. WILKINSONSCOTTULDALL RDP: Plasma renin and exchangeable sodium in the hypertension of chronic renal failure. The effect of bilateral nephrectomy. Q J Med 39:377-394, 1970 MedlineGoogle Scholar5. KINCAID-SMITH P: Microangiopathic haemolytic anaemia and malignant hypertension. Lancet 2:266, 1969 CrossrefMedlineGoogle Scholar6. PABICOCESTEROFREEMAN RRR: Renal functional recovery after prolonged oliguria due to malignant hypertension, in Abstracts of the Western Dialysis and Transplantation Society, 1st Annual Meeting, Las Vegas, Nevada, 1970, p. 44 Google Scholar7. EKNOYANSIEGEL GM: Recovery from anuria due to malignant hypertension. JAMA 215:1122-1125, 1971 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDelayed recovery of renal function in patients with acute renal failure due to accelerated hypertension.Long Term Follow-Up of Aggressive Medical Therapy of Accelerated Hypertension With AzotemiaRecovery from Prolonged Renal Failure in Patients with Accelerated HypertensionMalignant Hypertension: Kidneys Too Good to be ExtirpatedWILLIAM J. MROCZEK, M.D. 1 October 1972Volume 77, Issue 4Page: 656-658KeywordsAttentionCreatinineHypertensionMedical dialysisNephrectomyUltrafiltration Issue Published: 1 October 1972 PDF DownloadLoading ...