IJU Case Rep. 2025 Aug 19;8(5):525-528. doi: 10.1002/iju5.70084. eCollection 2025 Sep.
ABSTRACT
INTRODUCTION: Renal artery stenosis (RAS) reduces renal blood flow and activates the renin-angiotensin-aldosterone (RAA) system, resulting in renovascular hypertension (RVH).
CASE PRESENTATION: We report a case of a 49-year-old woman with RVH due to bilateral renal artery stenosis, predominantly on the right. Despite pharmacological treatment, blood pressure remained poorly controlled; leading to severe heart failure that required dialysis. Percutaneous renal angioplasty was considered but deemed technically difficult. The patient underwent a successful laparoscopic right nephrectomy, leading to improved blood pressure control and reduced need for antihypertensive medications.
PMID:40909303 | PMC:PMC12408181 | DOI:10.1002/iju5.70084