Renal auto transplantation for renovascular hypertension associated with bifurcated renal artery stenosis in a pediatric patient

Background: Renovascular hypertension (RVH) accounts for 10-15% of secondary hypertension in children. RVH is often due to intrinsic renal arterial disease causing stenosis which may also sometimes involve the aorta and other arteries. RVH is treatable in children by surgical and medical interventio...

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Main Authors: Kenji Okumura (Author), Smitha Vidi (Author), Dev M. Desai (Author)
Format: Book
Published: Elsevier, 2019-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Kenji Okumura  |e author 
700 1 0 |a Smitha Vidi  |e author 
700 1 0 |a Dev M. Desai  |e author 
245 0 0 |a Renal auto transplantation for renovascular hypertension associated with bifurcated renal artery stenosis in a pediatric patient 
260 |b Elsevier,   |c 2019-03-01T00:00:00Z. 
500 |a 2213-5766 
500 |a 10.1016/j.epsc.2018.12.020 
520 |a Background: Renovascular hypertension (RVH) accounts for 10-15% of secondary hypertension in children. RVH is often due to intrinsic renal arterial disease causing stenosis which may also sometimes involve the aorta and other arteries. RVH is treatable in children by surgical and medical interventions. The surgical options for treating RVH depends on the location, severity and vascular abnormality caused by the underlying disease. Case presentation: A 3-year-old Caucasian girl presented with refractory hypertension. Computed tomography showed right renal artery stenosis. Endovascular therapy was considered, but was not feasible due to early renal artery bifurcation and extension of the stenosis into the bifurcation. To preserve kidney function and to treat the hypertension, the patient underwent renal auto transplant. She recovered without complications with preservation of renal function and resolution of her hypertension. Conclusion: We present a case of RVH associated with bifurcated renal artery stenosis successfully treated by renal auto transplantation. Even though endovascular therapy applications are growing in pediatric patients, open surgical treatment for complex RVH is still an important treatment option. Keywords: Renal artery stenosis, Renovascular hypertension, Renal auto transplantation 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
690 |a Surgery 
690 |a RD1-811 
655 7 |a article  |2 local 
786 0 |n Journal of Pediatric Surgery Case Reports, Vol 42, Iss , Pp 42-44 (2019) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2213576618303403 
787 0 |n https://doaj.org/toc/2213-5766 
856 4 1 |u https://doaj.org/article/9490f0ea6e6e4cc2865e0930b8b58b3a  |z Connect to this object online.