THE TREATMENT OF MALIGNANT HYPERTENSION DUE TO ISCHEMIA OF THE SOLITARY FUNCTIONING KIDNEY.

Two patients with systemic arterial hypertension due to ischemia of a solitary functioning kidney were presented. Both patients had stricture of the left renal artery. Additionally, one had the right kidney artery completely occluded and the other underwent a right nephrectomy five years previously. It was the authors' observation that in the presence of stenosis of one of the renal arteries the elimination of the function of the other kidney severely aggravates the clinical picture, and that such patients are especially apt to develop hypertension of extremely serious character. After reconstructive vascular surgery, the blood pressure of both patients returned to normal and they had complete relief from their symptoms. [ABSTRACT FROM AUTHOR]