Percutaneous transluminal coronary angioplasty for renovascular hypertension in a child: a case report.
Since its introduction, percutaneous transluminal coronary angioplasty has become an alternative therapeutic modality to surgical and medical treatment for renovascular hypertension. We report the case of a nine-year-old boy who had hypertension caused by renal arterial stenosis. The patient's high blood pressure was 164/100 mmHg, which was discovered incidentally during a physical check-up. A selective renal angiography showed a severe short-segment stenosis with post-stenotic dilatation of the left renal artery. A 4-mm balloon catheter was advanced through the stenotic area and was inflated five times to dilate the stenosis. After the procedure, the selective renal angiography showed a significant increase in the diameter of the left renal artery. Blood pressure decreased to normal immediately after the procedure. During the one-year follow-up period, the patient remained normotensive without the use of antihypertensive drugs.
Lee
C S
CS
Department of Pediatrics, Taipei Veterans General Hospital, Taiwan, ROC.
Hwang
B
B
Lee
P C
PC
Fu
Y C
YC
Hsing
H P
HP
Lu
J H
JH
Meng
C C
CC
D015906:Angioplasty, Balloon, Coronary; D002648:Child; D006801:Humans; D006978:Hypertension, Renovascular / Q000628:therapy*; D008297:Male