Adverse outcomes of renovascular hypertension during pregnancy

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Background: A 26-year-old primigravida, with no history of hypertension, presented at 20 weeks of gestation with severe pre-eclampsia. A pelvic ultrasound revealed intrauterine fetal death, probably caused by placental abruption. The pregnancy was terminated by induction with oxytocin, followed by a vaginal breech delivery. The patient remained hypertensive for 8 weeks after delivery. Investigations: Physical examination, laboratory investigation, renal angiogram and renal-vein renin sampling. Diagnosis: An atrophic right kidney secondary to an occluded right renal artery, probably caused by dissected fibromuscular dysplasia; a contralateral high-grade stenosis secondary to fibromuscular dysplasia. Management: Right nephrectomy and angioplasty of the left renal artery.

Original languageEnglish (US)
Pages (from-to)651-656
Number of pages6
JournalNature Clinical Practice Nephrology
Volume2
Issue number11
DOIs
StatePublished - Nov 1 2006

Keywords

  • Hypertension
  • Pre-eclampsia
  • Pregnancy outcomes
  • Renal artery stenosis
  • Renovascular hypertension

ASJC Scopus subject areas

  • Nephrology

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