Gebelikte Hipertansiyonun Alışılmadık Bir Sebebi: Renovasküler Hipertansiyon

Öz

Renal arter stenozu, gebelikte nadir görülen bir hipertansiyon sebebidir. Bilateral renal arter stenozuna bağlı dirençli hipertansiyon sebebi ile gebeliğin son döneminde uzun süre hastanede takip edilen ve gebelik sonrasında bilateral renal arter stentleme ile tedavi edilen bir olguyu paylaşmayı amaçladık. 

Anahtar Kelimeler

• Hipertansiyon,Renovasküler,Gebelik.

An Unusual Cause Of Hypertension In Pregnancy: Renovascular Hypertension

Öz

Renal artery stenosis is a rare cause of hypertension in pregnancy. We aim to share a patient who were followed for a long time in the hospital in late pregnancy with resistant hypertension secondary to bilateral renal artery stenosis and treated with bilateral renal artery stenting after pregnancy. 

Anahtar Kelimeler

• Hypertension,Renovascular,Pregnancy.

Kaynakça

1. 1. European Society of Gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German Society for Gender Medicine (DGesGM), RegitzZagrosek V, Blomstrom Lundqvist C, Borghi C, Cifkova R, Ferreira R, Foidart JM, Gibbs JS, Gohlke-Baerwolf C, Gorenek B, Iung B, Kirby M, Maas AH, Morais J, Nihoyannopoulos P, Pieper PG, Presbitero P, RoosHesselink JW, Schaufelberger M, Seeland U, Torracca L; ESC Committee for Practice Guidelines. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(24):3147-97.
2. 2.Wagner SJ, Barac S, Garovic VD. Hypertensive pregnancy disorders: current concepts. J Clin Hypertens (Greenwich). 2007;9(7):560-6.
3. 3.Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-52.
4. 4.Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M et al. European Society of Hypertension; European Society of Cardiology. 2013 ESH-ESC Guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). European Heart Journal 2013:34(28);2159–219.
5. 5.Ollivier R, Boulmier D, Veillard D, Leurent G, Mock S, Bedossa M, Le Breton H. Frequency and predictors of renal artery stenosis in patients with coronary artery disease. Cardiovasc Revasc Med. 2009;10(1):23-9.
6. 6.Easterling TR, Brateng D, Goldman ML, Strandness DE, Zaccardi MJ. Renal vascular hypertension during pregnancy. Obstet Gynecol. 1991;78(5 Pt2):921-
7. 7.Thorsteinsdottir B, Kane GC, Hogan MJ, Watson WJ, Grande JP, Garovic VD. Adverse outcomes of renovascular hypertension during pregnancy. Nat Clin Pract Nephrol. 2006;2(11):651-6.