Korean J Nephrol.  2009 May;28(3):230-235.

Renovascular Hypertension and Nephrotic Range Proteinuria Developed after the Renal Artery Ligation: Successful Treatment by Combination of ACE Inhibitor and Angiotensin II Type 1 Receptor Blocker

• Oh SW
• Kim SC
• Cha JJ
• Kim MG
• Woo YS
• Boo CS
• Jo SK
• Cho WY
• Kim HK

Abstract

A 27-year-old woman presented with severe hypertension and nephrotic range proteinuria. She had a blunt renal trauma 4 weeks ago and was treated by the left main renal artery ligation. The plasma renin activity, angiotension II and aldosterone levels were very high and the abdominal angiography showed the occlusion of the left main renal artery with relatively preserved blood flow in upper pole of the left kidney. In captopril renal scan, relatively preserved perfusion in upper pole of left kidney was further compromised after captopril administration. The massive proteinuria and hypertension were improved after combination of ACE inhibitor and angiotensin II type 1 receptor blocker treatment.

Keyword

Hypertension; Renovascular; Proteinuria; ACE inhibitors; Angiotensin II type I receptor blockers

MeSH Terms

Adult
Aldosterone
Angiography
Angiotensin II
Angiotensin-Converting Enzyme Inhibitors
Angiotensins
Captopril
Female
Humans
Hypertension
Hypertension, Renovascular
Kidney
Ligation
Perfusion
Plasma
Proteinuria
Receptor, Angiotensin, Type 1
Renal Artery
Renin
Aldosterone
Angiotensin II
Angiotensin-Converting Enzyme Inhibitors
Angiotensins
Captopril
Receptor, Angiotensin, Type 1
Renin