Title

Experience with bilateral renal artery stenosis as a cause of hypertension in childhood

Document Type

Journal Article

Publication Date

1-1-1991

Journal

Journal of Pediatric Surgery

Volume

26

Issue

5

DOI

10.1016/0022-3468(91)90699-T

Keywords

renal artery stenosis; Renovascular hypertension

Abstract

Since 1981, eight children have been treated at this hospital for hypertension due to bilateral renal artery stenosis (RAS). Useful diagnostic studies were DTPA renal scan following pretreatment with captopril, and selective renal angiography. All patients underwent attempted surgical revascularization of the RAS and three had aortoaortic bypass of an abdominal aortic narrowing. Of the 14 kidneys that had repair of RAS, a successful outcome was obtained in 11 (80%). Three patients required unilateral nephrectomy. Five of eight patients are normotensive and off all medications, and three are normotensive on reduced medication doses. © 1991.

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