Abstract
Renovascular disease is an important cause of hypertension in children and is associated with considerable increase in the risk of morbidity and mortality. In 70% of all cases of secondary hypertension in children, the cause is fibromuscular hyperplasia with most commonly affected renal and carotide arteries.
We observed 12 yrs old girl presented with headache. High grade arterial hypertension has been registered. She has been refered to our hospital because of refractory hypertension under treatment with triple antihypertensive therapy including ACE inhibitor+beta-blocker+thiazide. CT angiography has shown stenotic and aneurismatic lesions of the lower branch of left renal artery. Percutaneous transluminal renal angioplasty has been performed of the stenotic part of the renal artery. Blood pressure dramaticaly decreased after operation and stay normal during the follow-up period of 2 years. Antihypertensive drugs dosage gradualy decreased and than stopped. The girl is stable without any complications. Percutaneous transluminal agnioplasty is the first line therapeutic approach in renovascular hypertension. It is definitive, safe and low-cost treatment modality especially in young patients with refractory renovascular hypertension due to fibromuscular dysplasia.
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Petrov, I., Chervenkoff, V., Staneva, M. et al. 998 Percutaneous Transluminal Angioplasty in a Child with Renal Artery Fibromuscular Dysplasia. Pediatr Res 68 (Suppl 1), 497 (2010). https://doi.org/10.1203/00006450-201011001-00998
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DOI: https://doi.org/10.1203/00006450-201011001-00998
