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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Meant By 90% Stenosis Of The Proximal SMA?

Hi. I am 58 years old male. I was diagnosed with right Renal artery stenosis in the range of 90%. Also the MRA indicates that I have stenosis of the proximal SMA in the range of 90%. is this a very serious condition? What should I do? Other blood tests for kidney function, lipid, chloresterol, urine analysis are all normal. My bp varies between 140-155/95-110.
Mon, 25 May 2015
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Cardiologist 's  Response
I have gone through case history.I can understand your concern.you have 90% stenosis of Right Renal artery and proximal SMA.Scientifically whenever any artery is blocked more than70% it should be tackled either by plasty with stent or graft.your uncontrolled blood pressure also points that you need to dilate Rt.renal artery followed by stenting ,As far as SMA block is concerned one needs to look at angiogram for extent and type of block to decide what can be offered to this block.One thing is certain you will need intervention.My best wishes.
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What Is Meant By 90% Stenosis Of The Proximal SMA?

I have gone through case history.I can understand your concern.you have 90% stenosis of Right Renal artery and proximal SMA.Scientifically whenever any artery is blocked more than70% it should be tackled either by plasty with stent or graft.your uncontrolled blood pressure also points that you need to dilate Rt.renal artery followed by stenting ,As far as SMA block is concerned one needs to look at angiogram for extent and type of block to decide what can be offered to this block.One thing is certain you will need intervention.My best wishes.