A few illustrations of unilateral renal disease associated with hypertension that have been observed in man are arteriosclerotic narrowing of the orifice of one main renal artery, caused by arteriosclerosis of the aorta itself or of the first part of the renal artery; arteriosclerotic stenosis in any portion of the main renal artery; and thrombosis of the aorta at the mouth of the renal artery or in the main renal artery. Numerous instances have been reported of hypertension due to renal artery occlusion successfully treated by nephrectomy. In the following report we present the case of a patient with marked hypertension who was treated with thromboendarterectomy for atherosclerotic occlusion of the abdominal aorta and iliac arteries and partial thrombosis of one renal artery. It is the purpose of our paper to discuss the prompt and persistent reduction in the patient's blood pressure that followed this procedure.
REPORT OF A CASE
Norman E. Freeman, Frank H. Leeds, Wallace G. Elliott, Samuel I. Roland. THROMBOENDARTERECTOMY FOR HYPERTENSION DUE TO RENAL ARTERY OCCLUSION. JAMA. 1954;156(11):1077–1079. doi:10.1001/jama.1954.02950110039012