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  • Title: Peripheral artery disease: a cause of refractory hypertension after renal transplantation.
    Author: Dourado R, Gonçalves Pde A, Almeida M, Weigert A, Bruges M, Gaspar A, Negrão AP, Machado D, Clemente B, Teles R, Machado FP, Silva A.
    Journal: Rev Port Cardiol; 2008 Mar; 27(3):353-7. PubMed ID: 18551921.
    Abstract:
    The authors report the case of a 44-year-old man, with a history of hypertension, smoking, peripheral artery disease and chronic renal failure. After renal transplantation, the patient developed persistent high blood pressure, despite optimal medical therapy. When angiotensin-converting enzyme (ACE) inhibitor therapy was begun, he developed acute anuric renal failure, which was reversed after interruption of the ACE inhibitor. After the initial clinical evaluation, the patient was referred for renal angiography, which revealed critical stenosis of the proximal left common iliac artery, just above the renal graft artery anastomosis. The patient underwent successful angioplasty and stenting of the lesion, with complete normalization of blood pressure.
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