Renovascular hypertension in a newborn: necessity of assessing blood pressure routinely.
A 7-day old neonate presented with heart failure secondary to severe hypertension. The hypertension was discovered on day 9 of life. Control of his hypertension was a difficult problem eventually requiring continuous intravenous sodium nitroprusside therapy, and ultimately a nephrectomy. The nephrectomized specimen revealed renal artery stenosis, renal artery thrombosis and renal vein thrombosis. His eventual outcome was excellent.
Airede
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Department of Paediatrics, College of Medical Sciences, University of Maiduguri, Borno State-Nigeria.
D001706:Biopsy; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000592:standards*; D009392:Nephrectomy; D009599:Nitroprusside / Q000008:administration & dosage / Q000627:therapeutic use; D014567:Urography
D009599:Nitroprusside