[Surgical treatment of renal artery stenosis in children 60 surgically treated cases].
Sixty children with renal artery stenosis (unilateral in 44, bilateral in 16) underwent surgical treatment. Ten nephrectomies and 69 vascular repair procedures were performed. Postoperative follow-up ranged from one to 14 years. After surgery, blood pressure returned to normal and subsequently remained so in 54 patients without any antihypertensive medication. This represents a 90% cure rate. In six patients blood pressure remained high due to lesions of the renal parenchyma. Fibrous dysplasia of the renal artery was the prevailing pathologic finding. In children, associated lesions are especially frequent: coarctation of the abdominal aorta, stenosis, occlusion, aneurysms of the splanchnic arteries, pheochromocytoma. Postoperative prognosis of renovascular hypertension in children is good since atheroma and visceral or renal lesions are usually lacking.
Lacombe
M
M
Hôpital Beaujon, Clichy.
D000293:Adolescent; D000800:Angioplasty, Balloon; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D007223:Infant; D008297:Male; D009392:Nephrectomy; D011379:Prognosis; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery* / Q000628:therapy
Traitement chirurgical des sténoses artérielles rénales chez l'enfant. 60 cas opérés.