Case Report

Goldblatt Phenomenon in a Single Kidney The Importance of Subselective Renal Vein Renins

Authors: CARL BRUEGGEMEYER MS, MD, M. STEVEN FARBER MD, ERMAN RAMIREZ MD

Abstract

SUMMARYWe have reported a case of renovascular hypertension in a patient with a solitary kidney with a significant stenosis of one of three separate renal arteries. Elevated renins were detected only with segmental sampling. We believe cases of renovascular hypertension may be overlooked on angiography and consequently, without segmental renin samples, lateralizing renin elevation may not be discovered.

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