Renal artery stenoses with incidental mesenteric artery stenoses
History of hypertension, which was poorly controlled by medication until recently. Bilateral <60% renal artery stenoses were identified in a renal artery ultrasound in December 2010. The stenoses were also graded at <60% on a surveillance ultrasound in December 2011. This surveillance ultrasound was performed in June 2012.
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Elevated peak systolic velocities and velocity ratios in the right renal artery suggesting a >60% stenosis. The stenosis extends from the origin to the mid-segment. Progressive decrease in length of the right kidney over 1 1/2 years.
Elevated peak systolic velocites in the left renal artery with velocity ratios within normal limits suggesting a <60% stenosis from the origin to the proximal segment. Variable length measurements of the left kidney.
>70% stenoses of the coeliac axis and superior mesenteric artery.