Vaskulárna medicína 2-3/2018
Accelerated atherosclerosis in young woman
The authors present a case report of a 37-year old woman, smoker, who was at the age 43 years hospitalized for the newly diagnosed arterial hypertension (blood pressure 210/115 mmHg) and type 2 diabetes mellitus. The critical right renal artery stenosis was identified during the secondary hypertension screening and it was treated by renal artery stenting. One year later she was hospitalized for acute right lower limb ischemia and obliterated popliteal artery was found, which was firstly treated with pharmaco-mechanical thrombectomy and then due to recurrence of ischemia by implantation of three stents. In 2014, she was hospitalized for critical limb ischaemia this time on the left lower limb and due to critical stenosis the common femoral artery was scheduled for vascular surgical procedure. The next hospitalization was due to symptomatic ischemia of the left upper limb in 2016 requiring stenting of subclavia artery, with concomitant obliteration of brachiocephalic trunk. In 2017 she was hospitalized for frontal-parietal right brain cerebral ischemia, and the left subclavian artery was re-obliterated, so far without indication of further surgery treatment. Thereafter in 2018, she was hospitalized due to progression of right lower limb claudication with CTA finding of collateralized obliteration of distal superficial femoral artery and proximal popliteal artery and reintervention is planned in near future.
Keywords: secondary arterial hypertension, renal artery stenosis, peripheral arterial and carotid artery disease
