Recurrent Hypertension in a Patient with Chronic Aortoiliac Thrombosis and Renal Artery Obstruction Successfully Treated on Two Occasions by Partial Nephrectomy
Authors: LEONARD SCHERLIS
Journal: Annals of Internal Medicine (1964)

Case Studies1 January 1964Recurrent Hypertension in a Patient with Chronic Aortoiliac Thrombosis and Renal Artery Obstruction Successfully Treated on Two Occasions by Partial NephrectomyLEONARD SCHERLIS, M.D., F.A.C.P., YU-CHEN LEE, M.D.LEONARD SCHERLIS, M.D., F.A.C.P.Search for more papers by this author, YU-CHEN LEE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-1-117 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptInstances of moderate or malignant hypertension due to renal arterial involvement have been reported sporadically among patients with chronic aortoiliac thrombosis, commonly known as the Leriche syndrome (1-6).We are reporting an unusual instance of aortoiliac thrombosis with malignant hypertension treated successfully by thromboendarterectomy, bilateral lumbar sympathectomy, and left partial nephrectomy on the first occasion and again treated successfully by right partial nephrectomy five years later, when malignant hypertension recurred.CASE REPORTFIRST ADMISSIONM. G., a 30-year-old white female, was admitted to the University of Maryland Hospital on November 10, 1953. Two and one-half weeks prior to admission, she...References1. FREEMANLEEDSELLIOTTROLAND NEFHWGSI: Thromboendarterectomy for hypertension due to renal artery occlusion. JAMA 156: 1077, 1954. CrossrefMedlineGoogle Scholar2. HIMELMACDONALD HARI: Report of a case of thrombosis of the abdominal aorta with involvement of the left renal artery. Canad. Med. Ass. J. 77: 484, 1957. MedlineGoogle Scholar3. WYATTFELSON GMB: Aortic thrombosis as a cause of hypertension: an arteriographic study. Radiology 69: 676, 1957. CrossrefMedlineGoogle Scholar4. STARERSUTTON FD: Aortic thrombosis. Brit. Med. J. 1: 1255, 1958. CrossrefMedlineGoogle Scholar5. STARZLTRIPPEL TO: Reno-mesenteric-aortoiliac thromboendarterectomy in patient with malignant hypertension. Surgery 46: 556, 1959. MedlineGoogle Scholar6. PALOU J: Hypertension arterial maligna por thrombosis aortoiliaca ascendente. 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Author, Article, and Disclosure InformationAffiliations: Baltimore, MarylandFrom the Division of Cardiology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.Requests for reprints should be addressed to Leonard Scherlis, M.D., Division of Cardiology, University of Maryland School of Medicine, Baltimore 1, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 January 1964Volume 60, Issue 1Page: 117-124KeywordsHypertensionKidneysNephrectomyObstetrics and gynecologyRenal arteriesSurgerySurgical repairSympathectomyThrombosisUrology Issue Published: 1 January 1964 PDF DownloadLoading ...