J Korean Vasc Surg Soc.
1997 Jun;13(1):81-88.
Surgical Treatment of 3 cases of Takayasu Arteritis with Renovascular Hypertension
- Affiliations
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- 1Department of Surgery, School of Medicine, Wonkwang University, Korea.
- 2Department of Pediatrics, School of Medicine, Wonkwang University, Korea.
- 3Department of Radiology, School of Medicine, Wonkwang University, Korea.
- 4Department of Pathology, School of Medicine, Wonkwang University, Korea.
Abstract
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Renovascular hypertension secondary to renal artery vascular disease is the most common form of surgically correctable hypertension. The common causes of renovascular hypertension are atherosclerosis, fibromuscular dysplasia, and Takayasu arteritis. Takayasu arteritis is a chronic nonspecific arteritis of unkown cause that is relatively prevalant in young female subjects. It has been well known that the pathologic feature of the disease consist predominantly of occulsive changes in the aorta and the origin of its major branches. The most important pathogenetic mechanism of hypertension seems to be through renal artery stenosis. We have experimented three hypertensive patients with Takayasu arteritis experienced. Basic diagnosis was established by angiographic study. This article presents surgical treatment methods of Takayasu arteritis with renovascular hypertension and brief review of literatures.