Bilateral renal artery involvement of erdheim-chester disease.

[erdheim-chester disease]

To report a rare case of nonatherosclerotic renal artery disease (NARAD ) in a patient with Erdheim-Chester disease (ECD ), a non-Langerhans cell histiocytosis . The patient is a 75 -year -old male who presented with 2 years of hypertension secondary to right renal artery occlusion incidentally found on cardiac catheterization . Open bilateral renal revascularization was performed because of improved long -term graft patency demonstrated in other forms of NARAD . Nine months postoperatively , the patient 's hypertension was significantly improved and surveillance duplex demonstrated patent bilateral renal artery bypasses . Revascularization in patients with NARAD , such as ECD , should be managed in an open approach because of the superior long -term graft patency and blood pressure control in a disease where progression to vessel fibrosis and atherosclerosis could interfere with endovascular stent patency .

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Diseases presenting "blood pressure control in a disease where progression to vessel fibrosis and atherosclerosis could interfere with endovascular stent patency" symptom

erdheim-chester disease

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