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Solitary kidney hypertension

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https://www.readbyqxmd.com/read/27847154/primary-hyperparathyroidism-predicts-hypertension-results-from-the-national-inpatient-sample
#1
A Kalla, P Krishnamoorthy, A Gopalakrishnan, J Garg, N C Patel, V M Figueredo
INTRODUCTION: Primary hyperparathyroidism (pHPT), most commonly caused by solitary parathyroid adenomas, leads to mobilization of calcium and is known to result in nephrolithiasis and osteoporosis. To date, studies of pHPT and cardiovascular risk factors and events have produced discrepant findings, likely due to small sample sizes and enrolling populations with varying disease severity. HYPOTHESIS: We utilized a national registry, hypothesizing an association between pHPT and cardiovascular risk factors and events...
November 9, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27790304/acute-page-kidney-immediately-following-blunt-trauma-to-a-solitary-pediatric-kidney
#2
Nicole Tuong, Michael Daugherty, Jonathan Riddell
Page kidney refers to the occurrence of hypertension secondary to renal compression and is usually associated with a subcapsular or perinephric hematoma. It generally occurs weeks to months after the initial injury. We report on a case of Page kidney occurring acutely after Grade IV blunt renal trauma in a pediatric patient with a solitary kidney following a tobogganing accident. The child was initially managed conservatively and discharged after six days bed-rest. He re-presented post-injury Day 12 with recurrent hematuria, anemia, hypertension, and renal failure that required eventual, and successful, surgical exploration...
May 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27774260/improvement-of-left-ventricular-filling-and-pulmonary-artery-pressure-following-unilateral-renal-artery-total-occlusion-stenting-in-a-patient-with-recurrent-congestive-heart-failure-complicated-by-renovascular-hypertension-and-renal-failure
#3
Osami Kawarada, Ryota Kitajima, Yasuo Sugano, Teruo Noguchi, Toshihisa Anzai, Hisao Ogawa, Satoshi Yasuda
Recurrent congestive heart failure related to renal artery disease is an important clinical entity that is typically observed in bilateral renal artery stenosis or solitary functioning kidney. However, the relationship between heart failure and unilateral renal artery disease, especially that with total occlusion, remains unclear. We report a successful management by unilateral renal artery total occlusion stenting with an evidence of improvement of left ventricular filling and pulmonary artery pressure in case of a patient suffering from medical therapy resistant recurrent congestive heart failure with preserved ejection fraction...
December 2015: ESC Heart Failure
https://www.readbyqxmd.com/read/27754194/br-05-2-angioplasty-of-atherosclerotic-renal-artery-stenosis-who-benefits
#4
Donghoon Choi
: Atherosclerotic renal artery stenosis is an increasingly recognized medical problem especially in elderly patients. It commonly occurs with systemic manifestations including hypertension (HTN), chronic kidney disease (CKD) or atherosclerotic diseases including coronary or peripheral artery disease. Significant renal artery stenosis may result in HTN, ischemic nephropathy, however it is still in debate about the benefit of revascularization. Although several randomized controlled trials including Angioplasty and Stenting for Renal Artery Lesions (ASTRAL) and Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL) study has failed to reveal a significant benefit of angioplasty, angioplasty with medical therapy is increasingly accepted in some patients with certain clinical conditions...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27738466/surgical-treatment-of-abdominal-aortic-aneurysm-with-congenital-solitary-pelvic-kidney-and-superior-mesenteric-artery-stenosis
#5
Takaaki Saito, Hiroki Tanaka, Naoto Yamamoto, Kazunori Inuzuka, Masaki Sano, Naoki Unno
We report the rare case of a 54-year-old man with uncontrolled renovascular hypertension, who was found to have an abdominal aortic aneurysm with congenital solitary pelvic kidney and superior mesenteric artery stenosis. A single renal artery branched from aneurysmal aortic bifurcation, and both the renal artery and the superior mesenteric artery (SMA) had severe stenosis at their origins. The aneurysm was repaired with a bifurcated Dacron graft, to which the renal artery was anastomosed. SMA bypass was created between the graft's left limb and the SMA using another Dacron graft...
2016: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/27643151/br-05-2-angioplasty-of-atherosclerotic-renal-artery-stenosis-who-benefits
#6
Donghoon Choi
UNLABELLED: Atherosclerotic renal artery stenosis is an increasingly recognized medical problem especially in elderly patients. It commonly occurs with systemic manifestations including hypertension (HTN), chronic kidney disease (CKD) or atherosclerotic diseases including coronary or peripheral artery disease. Significant renal artery stenosis may result in HTN, ischemic nephropathy, however it is still in debate about the benefit of revascularization. Although several randomized controlled trials including Angioplasty and Stenting for Renal Artery Lesions (ASTRAL) and Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL) study has failed to reveal a significant benefit of angioplasty, angioplasty with medical therapy is increasingly accepted in some patients with certain clinical conditions...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27421781/unilateral-renal-agenesis-necessity-of-postnatal-evaluation-in-a-contemporary-series
#7
Osama M Sarhan, Khalid Albedaiwi, Badr Al Harbi, Abdulhakim Al Otay, Mustafa Al Ghanbar, Ziad Nakshabandi
OBJECTIVE: To assess the need for postnatal evaluation and the long-term consequences in patients with prenatal diagnosis of unilateral renal agenesis (URA). MATERIALS AND METHODS: A retrospective review of the records of all patients with prenatal diagnosis of URA between 2004 and 2013 was done. We included all patients who underwent postnatal evaluation with renal bladder ultrasound (RBUS), dimercaptosuccinic acid scan, and a voiding cystourethrogram. Long-term follow-up included physical examination and assessment of contralateral renal growth...
July 12, 2016: Urology
https://www.readbyqxmd.com/read/27395807/endovascular-treatment-of-a-complex-renal-artery-aneurysm-using-coils-and-the-pipeline-embolization-device-in-a-patient-with-a-solitary-kidney
#8
Demetri Adrahtas, Patrick Jasinski, George Koullias, David Fiorella, Apostolos Tassiopoulos
OBJECTIVE: To report a case of endovascular treatment of a complex renal artery aneurysm using the Pipeline Embolization Device, a flow diverting stent which is indicated for the treatment of large and giant cerebral aneurysms. CASE PRESENTATION: Forty-year old female with medically refractory hypertension and congenital agenesis of the right kidney was found to have a 2.8-cm left superior renal artery branch aneurysm. The patient was treated successfully using the Pipeline Embolization Device (PED, Medtronic, Irvine, CA) and coil embolization of the aneurysm and deconstruction of one outflow vessel...
July 6, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27226113/renal-nitric-oxide-deficiency-and-chronic-kidney-disease-in-young-sheep-born-with-a-solitary-functioning-kidney
#9
Reetu R Singh, Lawrence K Easton, Lindsea C Booth, Markus P Schlaich, Geoffrey A Head, Karen M Moritz, Kate M Denton
Previously, we demonstrated that renal hemodynamic responses to nitric oxide (NO) inhibition were attenuated in aged, hypertensive sheep born with a solitary functioning kidney (SFK). NO is an important regulator of renal function, particularly, in the postnatal period. We hypothesized that the onset of renal dysfunction and hypertension in individuals with a SFK is associated with NO deficiency early in life. In this study, renal and cardiovascular responses to L-NAME infusion (N(w)-nitro-L-arginine methyl ester) were examined in 6-month old lambs born with a SFK, induced by fetal unilateral nephrectomy (uni-x)...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27106531/long-term-impact-of-unilateral-hypo-dysplastic-kidney-in-infants-with-primary-vesicoureteral-reflux
#10
Kimihiko Moriya, Michiko Nakamura, Yoko Nishimura, Takeya Kitta, Yukiko Kanno, Hiroki Chiba, Masafumi Kon, Nobuo Shinohara
INTRODUCTION: Renal abnormality is not a rare finding in infants with primary VUR. The pathophysiology of the renal abnormality is considered to be congenital or acquired. Congenital hypo/dysplastic kidney is a common finding in infants with primary VUR, especially in boys. However, the long-term impact of unilateral hypo/dysplastic kidney has not been elucidated. The aim of the current study is to clarify the long-term impact of unilateral hypo/dysplastic kidney with primary vesicoureteral reflux diagnosed in infancy...
March 15, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27060778/congenital-solitary-kidney-in-children-size-matters
#11
Claudio La Scola, Anita Ammenti, Giuseppe Puccio, Maria Vittoria Lega, Chiara De Mutiis, Claudia Guiducci, Laura De Petris, Rosa Perretta, Vittorio Venturoli, Gianluca Vergine, Andrea Zucchini, Giovanni Montini
PURPOSE: We assessed renal function outcome in children with congenital solitary kidney and evaluated prognostic risk factors. MATERIALS AND METHODS: We retrospectively studied the clinical charts of 210 children presenting with congenital solitary kidney at 2 pediatric nephrology and 5 pediatric units between January 2009 and October 2012. Children 0 to 18 years old with a congenital solitary kidney confirmed by scintigraphy were enrolled. Of the patients 146 were suitable for analysis...
October 2016: Journal of Urology
https://www.readbyqxmd.com/read/26936874/spontaneous-one-kidney-rats-are-more-susceptible-to-develop-hypertension-by-doca-nacl-and-subsequent-kidney-injury-compared-with-uninephrectomized-rats
#12
Xuexiang Wang, Ashley C Johnson, Jennifer M Sasser, Jan M Williams, Leah C Solberg Woods, Michael R Garrett
There is little clinical data of how hypertension may influence individuals with nephron deficiency in the context of being born with a single kidney. We recently developed a new rat model (the heterogeneous stock-derived model of unilateral renal agenesis rat) that is born with a single kidney and exhibits progressive kidney injury and decline in kidney function with age. We hypothesized that DOCA-salt would induce a greater increase in blood pressure and therefore accelerate the progression of kidney injury in rats born with a solitary kidney compared with rats that have undergone unilateral nephrectomy...
May 1, 2016: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/26877473/p-168-resistant-hypertension-revealing-a-stenosis-renovascular-of-a-solitary-kidney
#13
C Yousfi, Y Benchaabi, R Belguedj, H Karouche, S Ouarets, F Thniou, H Ghediri
OBJECTIFS: Devant une hypertension sévère chez le sujet jeune il faut toujours éliminer une origine secondaire. MéTHODES: Vignette clinique: Il s'agit d'un patient âgé de 40 ans qui s'est présenté pour malaise chez qui la prise de tension artérielle révélant 220mmh de systolique et 120mmHg de diastolique justifiant un traitement parentéral par les anti calciques qui ont fait baisser la tension artérielle sans atteinte de TA cible malgré l'association de plusieurs antihypertenseurs...
December 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26877472/p-167-hypertension-resistant-revealing-a-renovascular-stenosis-of-a-solitary-kidney
#14
R Bouchair, C Yousfi, H Kaghouche, S Ouarets, Y Benchaabi, R Belguedj, N Djeghri, A Ghouati, F Teniou, H Ghediri, D R Belouahed
OBJECTIFS: Devant une hypertension artérielle sévère chez le sujet jeune rechercher toujours une origine secondaire. MéTHODES: Vignette clinique: Il s'agit d'un patient âgé de 40 ans qui consulte pour un malaise, une tension artérielle prise revenant 220mmHg/100mmHg. Biologiquement : une hypokaliémie avec bilan rénal correcte Échographie abdominopelvienne: rein unique avec au Doppler de l'artère rénale une sténose rénovasculaire. Le malade est mis sous anti calcique, bêta bloquant, physiotens et diurétique...
December 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26837701/consensus-statement-from-the-international-radiosurgery-oncology-consortium-for-kidney-for-primary-renal-cell-carcinoma
#15
Shankar Siva, Rodney J Ellis, Lee Ponsky, Bin S Teh, Anand Mahadevan, Alexander Muacevic, Michael Staehler, Hiroshi Onishi, Peter Wersall, Takuma Nomiya, Simon S Lo
AIM: To provide a multi-institutional consensus document for stereotactic body radiotherapy of primary renal cell carcinoma. MATERIALS & METHODS: Eight international institutions completed a 65-item survey covering patient selection, planning/treatment aspects and response evaluation. RESULTS: All centers treat patients with pre-existing hypertension and solitary kidneys. Five institutions apply size constraints of 5-8 cm. The total planning target volume expansion is 3-10 mm...
March 2016: Future Oncology
https://www.readbyqxmd.com/read/26429179/congenital-solitary-kidney-with-multiple-renal-arteries-case-report-using-mdct-angiography
#16
Petru Matusz, Graţian Dragoslav Miclăuş, Christian Dragoş Banciu, Ioan Sas, Shamfa C Joseph, Laurenţiu Cornel Pirtea, R Shane Tubbs, Marios Loukas
A congenital solitary kidney with multiple renal arteries is a rare congenital abnormality that can occur in the presence of multiple other anomalies. We describe an atypical case of a right congenital solitary kidney with three renal arteries (RA) one main RA and two additional renal arteries in a 75-year-old woman with uterine didelphys. The main RA had an intraluminal diameter larger than the diameter of the additional renal arteries (AdRAs) at the origin (0.53 cm for the main RA; 0.49 cm and 0.32 cm for the two AdRAs)...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/26342317/dermoid-cyst-in-a-multicystic-dysplastic-kidney-a-case-report-and-literature-review
#17
REVIEW
Michael Levin, George F Steinhardt, Theodore D Barber
Most multicystic dysplastic kidneys (MCDKs) are discovered prenatally. There is no consensus regarding initial workup and appropriate follow-up. We present a 9-year-old female who was fetally diagnosed with a MCDK and without follow-up returned with an 18-cm multicystic mass. The patient underwent laparoscopic nephrectomy. Final pathology revealed a dermoid cyst arising in a pediatric kidney, which to our knowledge has not been previously described. Patients with MCDK have hypertension as a possible sequela and possible reflux to their functioning kidney...
November 2015: Urology
https://www.readbyqxmd.com/read/26181565/a-renal-inflammatory-myofibroblastic-tumor-similar-to-cystic-renal-cell-carcinoma-one-case-report
#18
Wenjie Liang
We describe and analyze the clinical course and imaging findings of a case of a renal inflammatory myofibroblastic tumor (IMT) that is similar to cystic renal cell carcinoma. "Solitary cysts" on the left kidney were found during a health examination of a 60-year-old female. The patient also had hypertension. She had undergone surgeries twice for limb trauma fracture and had no definite record of hepatitis. There was no tenderness with percussion of the kidney area or edema in the lower extremity. The renal function results, including serum creatinine, blood urea nitrogen, and blood urea, were within the normal range...
July 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26124916/immunoglobulin-d-multiple-myeloma-with-rapidly-progressing-renal-failure
#19
Jwalant Modi, Jeanne Kamal, Ahmad Eter, Suzanne El-Sayegh, Elie El-Charabaty
Immunoglobulin D (IgD) multiple myeloma (MM) is a very rare form of myeloma affecting less than 2% of all myeloma patients. It has a multiorgan involvement with renal failure being the key feature. We present here a case of IgD MM in a 62-year-old white male, smoker with past medical history of hypertension, who presented to emergency department with complaints of lower abdominal pain, constipation and decreased urination. Physical exam was unremarkable. Laboratory investigation showed S.Cr 5.99 mg/dL, hemoglobin 8...
August 2015: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/26072720/inferior-mesenteric-to-renal-artery-transposition-for-revascularization-of-a-solitary-functioning-kidney
#20
Michele Silvestro, Maurizio Domanin, Marco Floriani, Livio Gabrielli
The aim of this article is to describe a new open surgical technique for revascularization of renal arteries. Several interventions for surgical revascularization of renal arteries have been proposed. We suggest to perform an alternative technique if the described inflow vessels are not suitable because of severe atherosclerosis or calcifications. A 76-year-old woman with a solitary functioning kidney and a subocclusive renal artery stenosis presented at our institution with renovascular hypertension and chronic kidney disease...
August 2015: Annals of Vascular Surgery
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