A 78 yo female with long standing HTN, HLP, PVD, CKD came to the hospital with uncontrolled BP and deterioration of renal function over a 12 months period.
Despite aggressive medical therapy, there was no improvement in her kidney function and blood pressure control.
What was the reason?
Accessory Renal Artery Stenosis
Read more in Accessory Renal Artery Stenosis – A Cause For Drug Refractory Hypertension on ClinicalCases.org.
The author of this case is Moises Auron, M.D. from Department of Hospital Medicine, Cleveland Clinic.