Case Report: Bilateral Renal Artery Stenosis in a 7-Year-Old Child |
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| Authors: | Ahmed Sayed Hesham Elsharkawi Ahmed S. Awad Emad Emil Hosam El-Sayed |
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| Affiliation: | aVascular Surgery and Radiology Departments, Kasr Alainy Hospital, Cairo University, Egypt;bAbolreesh Pediatric Hospital, Cairo University, Egypt;cHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas |
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| Abstract: | We present a 7-year-old child with uncontrolled hypertension caused by bilateral renal artery stenosis. He underwent renal angioplasty on both sides. While the right side showed successful dilatation, the left side was unsuccessful, leaving a near total occlusion. Due to the lack of satisfactory control of his blood pressure, he was scheduled for an iliorenal bypass. Following surgery, all antihypertensive medications were withdrawn. Computed tomography angiography performed 18 months after surgery showed patent angioplasty on the right side and patent bypass on the left side. Both endovascular and open surgical treatments are feasible options with good results in this age group. |
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| Keywords: | renal artery stenosis renovascular hypertension |
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