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Surgical Treatment of Essential Hypertension Resistant to Medical Treatment: Report of Two Cases [Anatol J Cardiol]
Anatol J Cardiol. 2002; 2(1): 40-44

Surgical Treatment of Essential Hypertension Resistant to Medical Treatment: Report of Two Cases

Emin Özyurt1, Şöhret Ali Oğuzoğlu1, Ahmet Hilmi Kaya1, Taner Tanrıverdi1, Rasim Enar2, Dinçer Uçak3
1İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Nöroşirürji Anabilim Dalı - İstanbul
2İstanbul Üniversitesi Kardiyoloji Enstitüsü, İstanbul
3stanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Kardiyoloji Anabilim Dalı, İstanbul

Objective: To demonstrate that microvascular decompression of the left medulla oblongata is a safe and effective treatment modality in the treatment of “essential” hypertension. Methods: Two patients with medically refractory hypertension underwent microvascular decompression of the left rostral ventrolateral medulla oblongata. Causes such as renal diseases, carcinoid syndrome, pheochromocytoma were ruled out before surgery. Indications for surgery included mainly systolic blood pressures greater than 180 mm Hg or uncontrolled blood pressures under three or more medications. Results: Both patients experienced more than 20 mm Hg reduction in systolic blood pressure although the number of medications was decreased after surgery. Conclusion: Microvascular decompression of the left rostral ventrolateral medulla oblongata may be an effective modality in the treatment of “essential” hypertension.



Emin Özyurt, Şöhret Ali Oğuzoğlu, Ahmet Hilmi Kaya, Taner Tanrıverdi, Rasim Enar, Dinçer Uçak. Surgical Treatment of Essential Hypertension Resistant to Medical Treatment: Report of Two Cases. Anatol J Cardiol. 2002; 2(1): 40-44


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