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Renal arteriographic data of young male patients with suspected renovascular hypertension.

Atasoyu EM, Unver S, Evrenkaya TR, Basekim C

Department of Nephrology, Gulhane Military Academy of Medicine, Haydarpasa Training Hospital, Istanbul, Turkey. ematasoyu@superonline.com

The aim of the study was to determine whether the anatomical variant in which one or more renal vessels arose from the aorta was associated with hypertension in young male patients. We investigated the renal arteriographic data of 73 young male patients (age: 27.4 +/- 7.4, blood pressure: 162.7 +/- 17.5/104.6 +/- 10.1 mmHg) with grade-II hypertension. All studied patients underwent angiography to exclude renal artery stenosis. The patients were divided into two groups on the basis of their renal angiograms. We determined no abnormal findings in 33 renal arteriograms (45.2%). Twenty three (31.5%) patients had an additional renal artery without renal artery stenosis or renal anatomical variations. In conclusion, although the significance of this form of hypertension is still largely obscure, we believe that the presence of additional renal arteries may be associated with hypertension.

Published 13 June 2005 in Arch Med Res, 36(4): 418-20.
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