title: Renovascular hypertension in childhood: successful treatment by renal autotransplantation.
abstract: Five cases of renal autotransplantation for renovascular hypertension in children are described. Hypertension in these cases was managed temporarily with medications until the patients grew to a size that made an operative procedure feasible. Following operation the blood pressure returned to normal in three patients without any antihypertensive medication during the period of follow-up (8 months to 6 years). In the other two patients, small doses of antihypertensive medications still were needed, despite correction of the stenosis. The results of this series demonstrate that autotransplantation is a safe and effective procedure in childhood renovascular hypertension in contrast to other forms of vascular reconstruction, which carry a high rate of failure in this age group.
mesh_terms: D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery; D001794:Blood Pressure / Q000187:drug effects; D001807:Blood Vessel Prosthesis; D002648:Child; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D011859:Radiography; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000150:complications; D014182:Transplantation, Autologous
chemical_list: D000959:Antihypertensive Agents