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Angiology
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Severe Hypertension with Segmental Renal Infarction Following Surgical Removal of a Retroperitoneal Malignant Hemangiopericytoma: A Case Report

Kiyoshi Matsumura

Third Department of Internal Medicine, University of Ryukyus

Hiromi Muratani

Third Department of Internal Medicine, University of Ryukyus

Kunihiko Kinjou

Third Department of Internal Medicine, University of Ryukyus

Yorio Kimura

Third Department of Internal Medicine, University of Ryukyus

Tanenao Eto

Third Department of Internal Medicine, University of Ryukyus

Koshiro Fukiyama

Third Department of Internal Medicine, University of Ryukyus

Akira Kusaba

Second Department of Surgery, Faculty of Medicine, University of Ryukyus, Okinawa, Japan

Severe hypertension developed in a fifty-five year-old woman after surgical removal of a retroperitoneal tumor, when the renal artery was injured. Renal arteriography after the surgery demonstrated a segmental infarction of the right kidney. A close relationship between activation of the renin-angiotensin system and the development of severe hypertension was observed. Satisfactory control of blood pressure concomitant with reduction of plasma renin activity was achieved by a combination of an angiotensin-converting anzyme inhibitor, ß- blocking agent, and calcium-entry blocker. The mechanism of activation of the renin-angiotensin system in renal infarction is discussed.

Angiology, Vol. 42, No. 4, 331-336 (1991)
DOI: 10.1177/000331979104200411
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