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accessory renal arteries-a source of hypertension:A case report

World Journal of Clinical Cases 2023年第7期11卷 1506-1512页

作者： Amalia Calinoiu Elena-Cristina Guluta Adina Rusu Alexandra Minca Dragos Minca Luminita Tomescu Valeriu Gheorghita Dana Galieta Minca Lucian Negreanu Department of Internal Medicine Prof.Dr.Agrippa Ionescu Emergency Clinical HospitalBucuresti 011356BucureștiRomania Department of Gastroenterology Bucharest University Emergency HospitalBucharest 050098Romania Department of Internal Medicine Clinic Bucharest University Emergency HospitalBucharest 050098Romania Department of Rheumatology Clinic Center of Rheumatic Disease"Dr.Ion Stoia"Bucharest 030167Romania Department of Radiology Clinic Prof.Dr.Agrippa Ionescu Clinical Emergency HospitalBucharest 011356Romania Department of Infectious Disease Clinic Prof Dr.Agrippa Ionescu Clinical Emergency HospitalBucharest 011356Romania Department of Public Health and Management Carol Davila University of Medicine and PharmacyBucharest 020021Romania Department of Gastroenterology Carol Davila University of Medicine and PharmacyBucharest 020021Romania

BACKGROUND Secondary hypertension is a relatively rare condition most commonly caused by renovascular disease due to atherosclerotic vascular disease or fibromuscular *** accessory renal arteries are frequent,to date,only six cases of secondary hypertension determined by their existence have been *** SUMMARY We describe a case of a 39-year-old female who came to the emergency department with an urgent hypertensive crisis and hypertensive *** normal renal arteries,the computed tomography angiography revealed an inferior polar artery with 50%stenosis of its *** treatment with amlodipine,indapamide and perindopril was adopted,leading to blood pressure control within one *** To the best of our knowledge,there are controversies regarding accessory renal arteries as a potential etiology for secondary hypertension,but the seven similar cases already described,along with the current case,could reinforce the necessity of more studies concerning this subject.

关键词： accessory artery Secondary hypertension Renal artery stenosis Renovascular disease Risk factor Young patients Case report

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Liver graft vascular variant with 3 extra-hepatic arteries

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Hepatobiliary & Pancreatic Diseases International 2010年第3期9卷 319-320页

作者： Paulo N Martins Department of Surgery Division of Hepatobiliary Surgery and TransplantationNew York Medical College

Vascular anatomy of the liver is varied,and the 'standard'anatomy is seen in 55%-80%of *** is very important that extrahepatic arteries are identified precisely at the time of graft procurement to avoid injuries that might compromise the liver *** the present case the liver donor had the vascular anatomy of Michels typeⅦ,e.g.a hepatic artery originating from the celiac trunk and going to the left lobe,an accessory left hepatic artery coming from the left gastric artery,and a replaced right hepatic artery coming from the superior mesenteric *** pattern of vascular supply is uncommon,representing less than 5%of *** replaced hepatic artery was reconstructed in the back-table with polypropylene suture 7.0 by connecting it to the stump of the splenic artery,and the celiac trunk of the graft was anastomosed to the recipient common hepatic artery.

关键词： liver transplantation liver anatomy vascular variations right replaced artery accessory artery

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