Renovascular hypertension: balloon dilatation angioplasty for bilateral renal artery stenosis

A case of 38 year old male Yemeni patient with chronic systemic hypertension of 12 years duration is presented. Selective renal arteriography revealed bilateral severe renal artery stenosis with radiographic appearance of fibromuscular dysplasia. Successful bilateral balloon dilatation angioplasty was performed with immediate favourable reduction of systolic and diastolic hypertension. Indications, techniques, early and long-term results and comparison with surgical results are discussed. This is the first reported case of successful balloon dilatation angioplasty for reno-vascular hypertension due to bilateral renal artery stenosis in Kingdom of Saudi Arabia