体外手術を行つた腎血管性高血圧の1治験例

A CASE OF EXTRACORPOREAL RENAL SURGERY FOR RENOVASCULAR HYPERTENSION

緒言

　近年血管外科の著しい進歩に伴い，腎血管性高血圧症に対して，いろいろな血行再建術が行われるようになつてきた。なかでも多数の体外手術症例が報告され良好な結果を示している。

　われわれは，最近31歳女子の腎血管性高血圧症に体外手術を行い，満足すべき結果を得たので報告し，あわせて若干の文献的考察を行う。

A 31-year-old housewife was hospitalized because of headache and nausea. Physical examination was negative without marked hypertension (180/110). Plasma renin activity (PRA) was 2.5ng/ml/h and results obtained by renal vein blood sampling, Saralacin test, rapid sequence IVP and renogram suggested renovascular hypertension caused by right renal arterial stenosis. An arteriogram showed right renal artery with 3 branches; the upper renal pole blood supply thin artery, the main blood supply renal artery which was stenotic at the distal portion of arterial branching and the lower pole blood supply artery.