Spontaneous mediastinal hemorrhage associated with renovascular hypertension
A. T. Culliford, G. D. Ginsberg, R. S. Lefleur and A. J. Acinapura
We report on a patient with severe renovascular hypertension associated
with massive spontaneous mediastinal hemorrhage. Differentiation of this
entity from aortic dissection, as well as establishing the cause of the
severe hypertension, was possible only through the aid of angiography.
Following exploratory thoracotomy, renal artery revascularization was
carried out, with resolution of the hypertension. To our knowledge, this
complication of renovascular hypertension has not been reported. Prompt
recognition and appropriate therapy were possible only after angiographic
evaluation.
