Severe Hypertension with Segmental Renal Infarction Following Surgical Removal of a Retroperitoneal Malignant Hemangiopericytoma: A Case Report

Severe hypertension developed in a fifty-five year-old woman after surgical removal of a retroperitoneal tumor, when the renal artery was injured. Renal arteriography after the surgery demonstrated a segmental infarction of the right kidney. A close relationship between activation of the renin-angio...

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Veröffentlicht in:Angiology 1991-04, Vol.42 (4), p.331-336
Hauptverfasser: Matsumura, Kiyoshi, Muratani, Hiromi, Kinjou, Kunihiko, Kimura, Yorio, Eto, Tanenao, Fukiyama, Koshiro, Kusaba, Akira
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container_end_page 336
container_issue 4
container_start_page 331
container_title Angiology
container_volume 42
creator Matsumura, Kiyoshi
Muratani, Hiromi
Kinjou, Kunihiko
Kimura, Yorio
Eto, Tanenao
Fukiyama, Koshiro
Kusaba, Akira
description Severe hypertension developed in a fifty-five year-old woman after surgical removal of a retroperitoneal tumor, when the renal artery was injured. Renal arteriography after the surgery demonstrated a segmental infarction of the right kidney. A close relationship between activation of the renin-angiotensin system and the development of severe hypertension was observed. Satisfactory control of blood pressure concomitant with reduction of plasma renin activity was achieved by a combination of an angiotensin-converting anzyme inhibitor, β- blocking agent, and calcium-entry blocker. The mechanism of activation of the renin-angiotensin system in renal infarction is discussed.
doi_str_mv 10.1177/000331979104200411
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The mechanism of activation of the renin-angiotensin system in renal infarction is discussed.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Hemangiopericytoma - surgery</subject><subject>Humans</subject><subject>Hypertension - etiology</subject><subject>Hypertension - physiopathology</subject><subject>Infarction - etiology</subject><subject>Kidney - blood supply</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Renal Artery - injuries</subject><subject>Renin-Angiotensin System - physiology</subject><subject>Retroperitoneal Neoplasms - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Biological and medical sciences
Female
Hemangiopericytoma - surgery
Humans
Hypertension - etiology
Hypertension - physiopathology
Infarction - etiology
Kidney - blood supply
Medical sciences
Middle Aged
Postoperative Complications
Renal Artery - injuries
Renin-Angiotensin System - physiology
Retroperitoneal Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
title Severe Hypertension with Segmental Renal Infarction Following Surgical Removal of a Retroperitoneal Malignant Hemangiopericytoma: A Case Report
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