Renovascular hypertension secondary to renal artery compression by diaphragmatic crura

Aleem K. Mirza, Michael Kendrick, Thomas C. Bower, Randall R. DeMartino

Research output: Contribution to journalArticlepeer-review

Abstract

Median arcuate ligament syndrome is the result of celiac axis compression by the diaphragmatic crura. Although the celiac artery is the most common vessel to have compression, the renal arteries may also rarely be compressed by the crural fibers of the diaphragm, which may cause secondary hypertension. We present two cases of renovascular hypertension secondary to renal artery compression by the diaphragmatic crura. The first patient was treated with open decompression and wide resection of the crural fibers, and the second patient was decompressed laparoscopically. Neither case required renal artery reconstruction. Antihypertensives were discontinued in both patients postoperatively.

Original languageEnglish (US)
Pages (from-to)239-242
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume6
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • Crura
  • Laparoscopic
  • Median arcuate ligament
  • Renal artery
  • Renovascular hypertension

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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