Successful stenting for renal artery stenosis in a patient with Alagille syndrome.
A 12-year-old girl with Alagille syndrome manifested severe hypertension caused by renal artery stenosis in a solitary functioning kidney. Percutaneous transluminal angioplasty (PTA) and stenting was performed, but the hypertension persisted. On the next day, acute renal failure occurred with the administration of angiotensin-converting enzyme inhibitor, and migration of the stent was confirmed by angiography. Thus, a second stent was placed with success. Since then, the hypertension has been controlled with anti-hypertensive medication, and the renal function has recovered to normal range.
Hirai
Haruhiko
H
Department of Pediatrics, Developmental Medicine, Osaka University Graduate School of Medicine, Japan.
Santo
Yoko
Y
Kogaki
Shigetoyo
S
Kurotobi
Shunji
S
Etani
Yuri
Y
Mushiake
Sotaro
S
Nakatsuchi
Yoshiaki
Y
Nakajima
Shigeo
S
Ozono
Keiichi
K
D016738:Alagille Syndrome / Q000150:complications*; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary; D002648:Child; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000503:physiopathology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D019233:Retreatment; D012720:Severity of Illness Index; D015607:Stents / Q000009:adverse effects