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Horseshoe Kidney and Renovascular Hypertension Responsive to Percutaneous Transluminal Angioplasty

CHI V. DANG, M.D.; D. WILLIAM SCHLOTT, M.D.; ALAN J. S. WATSON, M.D.; LUIS GIMENEZ, M.D.; and DAVID K. KLASSEN, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to D. William Schlott, M.D.; 9 East Chase Street; Baltimore, MD 21202.


The Johns Hopkins University School of Medicine; Baltimore, Maryland


Ann Intern Med. 1985;102(1):70-71. doi:10.7326/0003-4819-102-1-70
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Hypertension is a rare complication of horseshoe kidney. We report the case of a patient who developed renovascular hypertension due to horseshoe kidney with several renal arteries. A segmental arterial lesion was successfully treated using percutaneous transluminal angioplasty after selective arteriography and renal vein renin localization.

A 50-year-old white man was hospitalized for progressive severe hypertension. His hypertension had been controlled for 10 years with Dyazide (combination product of hydrochlorothiazide and triamterene; Smith Kline and French Company, Carolina, Puerto Rico), once daily, and subsequently with metoprolol, 50 mg/d. Nine months before admission the patient's blood pressure became persistently elevated at

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