Renovascular hypertension: endovascular therapy in complicated aortic Stanford type B dissection

A 63 years old male (183 cm, 90 kg, BMI 26.9) with a history of arterial hypertension presented with a current onset of chest pain and discrete headaches accompanied by dizziness. His history did not reveal any pain attacks or further cardiovascular risk factors but sigmoid diverticulosis. However, blood pressures had worsened, measuring as high as 210/110 mmHg on both sides at presentation. Daily antihypertensive medication initially consisted of an AT-receptor-inhibitor (valsartan 2×20 mg) and a loop diuretic (torasemide 1×5 mg) which was then modified by switching to candesartan (1×32 mg), hydrochlorothiazide diuretic (1×25 mg) and an additional calcium channel blocker (lercanidipine 1×10 mg)