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Unusual case of refractory hypertension: late presentation of the mid-aortic syndrome
  1. S Kumar,
  2. R W Bury,
  3. D H Roberts
  1. Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire, UK
  1. Correspondence to:
    Dr S Kumar, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR, UK;


A 58 year old patient with refractory hypertension, chronic renal failure, and widespread arterial bruits is described. Investigations found hypoplasia of the major blood vessels, particularly the aorta, leading to low flow nephropathy.

  • mid-aortic syndrome
  • hypertension
  • renal failure

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