Arterial stents in the management of neurofibromatosis and renovascular hypertension in a pediatric patient: case report of a new treatment modality.
A 17-year-old male with neurofibromatosis presented with severe hypertension secondary to an abdominal aortic coarctation and bilateral renal artery stenoses. Despite previous surgical bypass grafts and aggressive medical management, including treatment with diuretics, beta-blocker, calcium channel blocker, angiotensin converting enzyme (ACE) inhibitors, and direct vasodilator agents, severe hypertension persisted. Following intravascular stent placement in the aorta and both renal arteries, blood pressures normalized.
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Department of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston 77030, USA.
Goldberg
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B
Siegel
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Trachtman
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H
Bierman
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FZ
D000293:Adolescent; D001012:Aorta, Abdominal; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology* / Q000628:therapy*; D008297:Male; D017253:Neurofibromatoses / Q000150:complications*; D011859:Radiography; D012078:Renal Artery Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D015607:Stents