RADIONUCLIDE CAPTOPRIL RENOGRAPHY IN POSTPARTUM RENAL-ARTERY ANEURYSMS

We report the case of a young woman with three left renal artery aneur ysms, diagnosed immediately postpartum, associated with a de novo high blood pressure. To assess anatomical and functional characteristics o f renal artery aneurysms, renal angiogram, MRI, intravenous pyelograph y, ultrasonography and radionuclide renography were performed. Two pat ent saccular renal artery aneurysms were demonstrated in the left kidn ey by renal angiogram. A larger, thrombosed aneurysm was also depicted on the left side on ultrasonography, MRI and renal angiogram. The lar ger aneurysm was responsible for renovascular disease of the middle th ird of the kidney, as demonstrated by captopril and baseline radionucl ide renographic studies. It also impeded drainage of the lower pyeloca lyceal group, without obstructing it, as shown by concomitant furosemi de (Lasix) evaluations.