Renal artery reimplantation for secondary hypertension due to diaphragmatic crus compression: a case report and literature review.

Youcef Lounes (1, 2) , Lucien Chassin-Trubert (2) , Kheira Hireche (2) , Léonore Freycon-Tardy (2) , Mariama Akodad (1, 2) , Ludovic Canaud (1, 2) , Pierre Alric (1, 2)

1 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
2 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]

Renal artery compression due to a diaphragmatic crus is a rare cause of secondary hypertension. This is usually a combination of a high origin of the renal artery and a prominent diaphragmatic crus leading to its compression similar as the median arcuate syndrome. We report a case of a 31-year-old male with uncontrolled hypertension despite four antihypertensive medications. A surgical decompression associated with direct reimplantation of the left renal artery was performed. The outcomes were uneventful with early discharge and immediate postoperative discontinuation of his antihypertensive medications up to 3-year follow-up.

Domaines: Sciences du Vivant [q-bio]

Youcef Lounes, Lucien Chassin-Trubert, Kheira Hireche, Léonore Freycon-Tardy, Mariama Akodad, et al.. Renal artery reimplantation for secondary hypertension due to diaphragmatic crus compression: a case report and literature review.. Annals of Vascular Surgery - Brief Reports and Innovations, 2022, pp.100056. ⟨10.1016/j.avsurg.2022.100056⟩. ⟨hal-03605991⟩