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Nephrol Dial Transplant (2000) 15: 536-538
© 2000 European Renal Association-European Dialysis and Transplant Association


Case Report

Stent treatment for pseudocoarctation and refractory hypertension in an elderly patient with Takayasu's arteritis

Anne-Paule Gimenez-Roqueplo1, Elisabeth Tomkiewicz1, Agnès La Batide-Alanore1, Isabelle Moreau1, Jean-François Paul2, Alain Raynaud2 and Pierre-François Plouin1

1 Hypertension Clinic and 2 Department of Vascular Radiology, Broussais Hospital, Paris, France

Correspondence and offprint requests to: Dr A.-P. Gimenez-Roqueplo, Service d'Hypertension Artérielle, Hôpital Broussais, 96 rue Didot, F-75014 Paris, France.

Keywords: hypertension; stent; Takayasu's arteritis; transluminal angioplasty



   Introduction
 
Takayasu's disease is an idiopathic inflammatory arteriopathy that affects the aorta and its main branches. The lesions show typical stenosis and occlusions, but aneurysms and dilatations are also observed. Takayasu's arteritis occurs most frequently in young Asian women. The estimated incidence is 2.6 cases per million inhabitants per year in North America [1]. The disease is uncommon in elderly Caucasian subjects. Surgical repair is the normal treatment in symptomatic cases, but correction of aortic or peripheral artery stenosis using stent placement has recently been reported [2]. We report a case of aorta pseudocoarctation in a 63-year-old Caucasian woman with Takayasu's arteritis, detected due to resistant hypertension, successfully treated by percutaneous transluminal angioplasty and stent placement.



   Case
 
A 63-year-old Caucasian woman was admitted for investigation of long-standing severe hypertension. Hypertension was diagnosed in 1982 and blood pressure . . . [Full Text of this Article]



   Discussion
 


   References
 

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