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KMID : 0377619670120050451
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Korean Jungang Medical Journal
1967 Volume.12 No. 5 p.451 ~ p.456
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Renovascular Hypertension
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金炯默/Kim, Hyoung Mook
申漢壽/李凡弘/孫延柱/李寧均/Shin, Han Soom/Lee, Bum Hong/Sohn, Jung Joo/Lee, Yung-Kyoon
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Abstract
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Two cases of renocascular hypertension (220-140mmHg) managed with simple nephrectomy were reported. The first case was a 18 years old Korean girl, whose left proximal renal artery was almost completely occluded with hyperplasia of the fibrous granulation tissue and thrombus formation. Reconstruction of renal arterial flow with 6 mm diameter dacron bypass graft from aorta to distal part of the left renal artery was attempted, which failed due to disproportion of the diameters between decron graft and left renal artery. Simple nephrectomy was done.
The second case, 33 years old Korean women (blood pressure 220/150mmHg) whose, left renal artery was partially occluded in its distal two third due to hypoplasia associated with subintimal fibrosis, was treated with simple nephrectomy for poor left kidney function.
Special screening test for renovascular hypertension was done for these two cases
including rapid sequence I.V.P., I131 Hippuran renogram, retrograde aortography,
Howard split renal function study, and bioassay, of renin of the involved renal vein. Postoperative hospital courses were uneventful. and the patients were completely (normotensive during hospitalization and at the time of discharge.
Each patient maintained normotension for 3 and 5 months after operation
respectively.
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