Bilateral Nephrectomy as a Rescue Therapy for Hemodialyzed Patient with Malignant Hypertension – Case ReportMacsim L.S.a · Stróżecki P.b · Miśkowiec-Wiśniewska I.b, c · Kardymowicz A.b · Manitius J.b
aStudent in International Erasmus Exchange Programme (2010–2011), University of Medicine and Pharmacy, Iasi, Romania; Departments of bNephrology, Hypertension and Internal Diseases, and cHygiene and Epidemiology, Nicolaus Copernicus University of Toruń, Collegium Medicum, Bydgoszcz, Poland Corresponding Author
Lucian Stefan Macsim
Klinika Nefrologii, Nadciśnienia Tętniczego i Chorób WewnętrznychUl. Skłodowskiej-Curie 9
PL–85-094 Bydgoszcz (Poland)
Tel. +48 525 854 450, E-Mail Lucian_macsim@yahoo.com
We present the case of a 64-year-old male patient in whom malignant phase of hypertension developed during dialysis therapy. Hypertension was resistant to pharmacological therapy with seven antihypertensive drugs and dialysis therapy with ultrafiltration. In this patient bilateral nephrectomy was performed as a rescue therapy. It led to better control of blood pressure and allowed to reduce the number and dosage of antihypertensive medications.
© 2012 S. Karger AG, Basel