Contribution of angioplasty of a fibromuscular angiodysplasic renal artery during early-onset gestational hypertension

Author::Delsart P, Author::Broucqsault D, Author::Midulla M, Sediri I, Author::Haulon S, Mounier-Vehier C.

Clinique Médicochirurgicale Vasculaire, Hôpital Cardiologique, CHRU de Lille, Boulevard du Pr-Leclercq, 59037 Lille Cedex, France. Pascal.DELSART@chru-lille.fr

This clinical case illustrates the management difficulties encountered during gestational hypertension and its impact on maternal and foetal outcome. Typically, preeclampsia occurs at the end of the second trimester. If blood pressure remains high early during pregnancy, a secondary cause of hypertension such as renal artery fibromuscular dysplasia should be explored. A renal vascular etiology can be safely ruled out with a duplex ultrasound. In this particular case of renal vascular hypertension in a patient with a single kidney, angioplasty appeared to be the sole solution and was efficient.

© 2011 Elsevier Masson SAS. All rights reserved.

PMID: PMID::22285840 [PubMed - indexed for MEDLINE]