Management of Resistant Hypertension and Renal Artery Infarct in a 56 Year Old Male: A Case Study of Fibromuscular Dysplasia, Diagnosis and Successful Angioplasty

Dr. Dolly Mathew, Dr. Shivendrran Madhurai Shanmugasundaram

Abstract: 56 Year Old Male with Resistant Hypertension Presented with Flank pain for evaluation. On work up, he was found to have Bilateral renal artery infarct with multifocal ectasia and stenosis of Bilateral renal artery with sparing of ostium in CT angiogram. Renal angiogram revealed Probable Fibromuscular dysplasia involving right renal artery. He underwent Angioplasty of right renal artery and post procedure he showed significant drop in Blood pressure and improvement in his renal function test. He was discharged with dual antiplatelet therapy and downtitrated antihypertensive medication.

Keywords: Fibromuscular dysplasia, Multifocal ectasia and stenosis, Angioplasty of Renal artery