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  • Title: [Changes in the renin-aldosterone system after unilateral portalization of adrenal and renal blood in patients with arterial hypertension].
    Author: Pokrovskiĭ AV, Torgunakov AP, Kazanchian PO, Matveeva AI, Migalina LA.
    Journal: Kardiologiia; 1983 Aug; 23(8):21-4. PubMed ID: 6620830.
    Abstract:
    Twenty-one patients with severe arterial hypertension were operated on using an original procedure, which consisted in creating a left-side renoportal venous anastomosis and right-side adrenalectomy. A considerable hypotensive effect was noted at both early and late follow-up. A drop in vascular peripheral resistance as a result of decreased blood aldosterone and cortisol levels as well as sodium elimination was found to be the principal mechanism of the hypotensive effect.
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