A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon

A 25-year-old Korean woman was referred for uncontrolled hypertension. Laboratory examination revealed increased plasma renin activity and microscopic hematuria. Computed tomography demonstrated compression of the left renal vein (LRV) between the aorta and superior mesenteric artery; however, both...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Se-Jun, Kim, Sun-Mi, Won, Je-Hwan, Lim, Hong-Seok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248617/
https://www.ncbi.nlm.nih.gov/pubmed/25469147
http://dx.doi.org/10.4070/kcj.2014.44.6.434
_version_ 1782346835745046528
author Park, Se-Jun
Kim, Sun-Mi
Won, Je-Hwan
Lim, Hong-Seok
author_facet Park, Se-Jun
Kim, Sun-Mi
Won, Je-Hwan
Lim, Hong-Seok
author_sort Park, Se-Jun
collection PubMed
description A 25-year-old Korean woman was referred for uncontrolled hypertension. Laboratory examination revealed increased plasma renin activity and microscopic hematuria. Computed tomography demonstrated compression of the left renal vein (LRV) between the aorta and superior mesenteric artery; however, both renal arteries were intact and there was no adrenal mass. Renal vein catheterization showed external compression with a pressure gradient of up to 8 mm Hg between the LRV and the inferior vena cava. Plasma renin activity in the LRV was almost five times higher than that in the right renal vein. In this patient, renin-dependent hypertension was caused by renal congestion due to LRV obstruction.
format Online
Article
Text
id pubmed-4248617
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The Korean Society of Cardiology
record_format MEDLINE/PubMed
spelling pubmed-42486172014-12-02 A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon Park, Se-Jun Kim, Sun-Mi Won, Je-Hwan Lim, Hong-Seok Korean Circ J Case Report A 25-year-old Korean woman was referred for uncontrolled hypertension. Laboratory examination revealed increased plasma renin activity and microscopic hematuria. Computed tomography demonstrated compression of the left renal vein (LRV) between the aorta and superior mesenteric artery; however, both renal arteries were intact and there was no adrenal mass. Renal vein catheterization showed external compression with a pressure gradient of up to 8 mm Hg between the LRV and the inferior vena cava. Plasma renin activity in the LRV was almost five times higher than that in the right renal vein. In this patient, renin-dependent hypertension was caused by renal congestion due to LRV obstruction. The Korean Society of Cardiology 2014-11 2014-11-25 /pmc/articles/PMC4248617/ /pubmed/25469147 http://dx.doi.org/10.4070/kcj.2014.44.6.434 Text en Copyright © 2014 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Se-Jun
Kim, Sun-Mi
Won, Je-Hwan
Lim, Hong-Seok
A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title_full A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title_fullStr A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title_full_unstemmed A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title_short A Case of Secondary Hypertension Associated with the Nutcracker Phenomenon
title_sort case of secondary hypertension associated with the nutcracker phenomenon
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248617/
https://www.ncbi.nlm.nih.gov/pubmed/25469147
http://dx.doi.org/10.4070/kcj.2014.44.6.434
work_keys_str_mv AT parksejun acaseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT kimsunmi acaseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT wonjehwan acaseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT limhongseok acaseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT parksejun caseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT kimsunmi caseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT wonjehwan caseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon
AT limhongseok caseofsecondaryhypertensionassociatedwiththenutcrackerphenomenon

Ejemplares similares