Slaying Monster with Catheter: A Case Report

This is a case of successful treatment of secondary hypertension with catheter intervention in a 62 years old gentleman who has severe aortoiliac occlusive disease, severe coronary artery disease and other comorbidities. Early recognition, diagnosis and treatment of secondary causes of hypertension lead to good clinical outcomes, possible reversal of end-organ damage and better blood pressure control. Blood pressure control is essential prior to coronary intervention in patients with resistant hypertension and concomitant coronary artery disease to prevent haemorrhagic stroke and other unwanted complications. This gentleman has triple vessels and left main stem disease which surgeons refused for coronary artery by pass graft (CABG) in view patient has severe aorto-iliac occlusive disease with resistant hypertension. We have done successful revascularization to aorto-iliac followed by coronary intervention. Keywords secondary/resistant hypertension, coronary artery disease, aortoiliac occlusive disease, catheter (endovascular) intervention