Renovascular Hypertension Treated by Thrombendarterectomy

POUTASSE1 has demonstrated that hypertension caused by unilateral or bilateral renovascular disease may be successfully treated by reparative surgery in selected cases. To select the proper patients a careful preoperative evaluation, including a determination of the twenty-four-hour urinary catechol amines, intravenous urography, differential renal-function tests and renal angiography, is necessary. The following case illustrates the result obtained from thorough preoperative evaluation and renovascular surgery.Case ReportC.P. (M.G.H. 804681), a 63-year-old man, was admitted to the Massachusetts General Hospital in November, 1958, with severe epistaxis and a blood pressure of 240/150. Before May, 1955, the blood pressure had been normal, . . .