Surgically correctable causes of hypertension are uncommon. Simultaneous occurrence of 2 such causes in the same individual is extremely rare. The authors describe a 25-year-old woman with congenital erythrocytosis, renal artery stenosis, and a paraganglioma. The possible mechanisms of renal artery stenosis in the presence of a catecholamine-secreting tumor are discussed.
Get full access to this article
View all access options for this article.
References
1.
Tucker RM, Labarthe DR: Frequency of surgical treatment for hypertension in adults at the Mayo Clinic from 1973 through 1975. Mayo Clin Proc52:549-555, 1977.
2.
Beard CM, Sheps SG, Kurland LT, et al: Occurrence of pheochromocytoma in Rochester, Minnesota, 1950 through 1979. Mayo Clin Proc58:802-804, 1983.
3.
Stenstrom G, Svardsudd K: Phaeochromocytoma in Sweden 1958–1981: An analysis of the National Cancer Registry data. Acta Med Scand220:225-232, 1986.
4.
Benowitz NL: Pheochromocytoma (review). Adv Int Med35:195-220, 1990.
5.
St John Sutton MG, Sheps SG, Lie LT: Prevalence of clinically unsuspected pheochromocytoma. Mayo Clinic Proc56:354-360, 1981.
Kishikawa H, Tsuji H, Takagi I, et al: Hemorrhagic necrosis of pheochromocytoma associated with reversible renal artery stenosis. Jpn J Surg16:46-51, 1986.
15.
Dougherty MJ, Hallett JW Jr, Naessens JM, et al: Optimizing technical success of renal revascularization: The impact of intraoperative color-flow duplex ultrasonography. J Vasc Surg17:849-856; discussion 857-857, 1993.
16.
Goldblatt H, Lynch J, Hanzal RF, et al: Studies on experimental hypertension: I. The production of persistent elevation of systolic blood pressure by means of renal ischemia. J Exp Med59:347-380, 1934.
17.
Brown JJ, Davies DL, Morton JJ, et al: Mechanism of renal hypertension. Lancet1:1219-1221, 1976.
18.
Hughes JS, Dove HG, Gifford RW Jr, et al: Duration of blood pressure elevation in accurately predicting surgical cure of renovascular hypertension. Am Heart J101:408-413, 1981.