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Renovascular hypertension and coronary heart disease complicating essential thrombocythemia

D O Arnar1, M K Pétursson, E Jónmundsson

  • 1Department of Medicine, Landspitalinn, National University Hospital, Reykjavik, Iceland.

European Heart Journal
|April 1, 1993
PubMed

A 36-year-old male was evaluated for treatment-resistant hypertension. A high platelet count 828 x 10(9).l-1, led to the diagnosis of essential thrombocythemia (ET). Aorto-renal angiography revealed critical bilateral renal artery stenosis and coronary angiography showed three-vessel disease. Percutaneous transluminal renal angioplasty was only partially successful. The patient received a 12-week course of busulphan and subsequently the thrombocyte count decreased to 200 x 10(9).l-1. Renal angiography 12 months later showed bilateral regression of the renal artery stenosis with lowering of the blood pressure to normal levels.

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