Case report shows nephrectomy improved blood pressure in a woman with renovascular hypertension, suggesting surgical intervention may benefit similar patients.
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.
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Shimoda et al. (2025) studied this question.
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