Abstract
POUTASSE1 has demonstrated that hypertension caused by unilateral or bilateral renovascular disease may be successfully treated by reparative surgery in selected cases. To select the proper patients a careful preoperative evaluation, including a determination of the twenty-four-hour urinary catechol amines, intravenous urography, differential renal-function tests and renal angiography, is necessary. The following case illustrates the result obtained from thorough preoperative evaluation and renovascular surgery.Case ReportC.P. (M.G.H. 804681), a 63-year-old man, was admitted to the Massachusetts General Hospital in November, 1958, with severe epistaxis and a blood pressure of 240/150. Before May, 1955, the blood pressure had been normal, . . .

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