[Mid-aortic syndrome in 18 year-old woman with arterial hypertension and bilateral renal artery stenosis].
Mid-aortic syndrome (MAS) is characterised by narrowing of the abdominal aorta, often with involvement of the renal and splanchnic arterial branches. Although uncommon, MAS is an important cause of renovascular hypertension in children and adolescents and should be considered in the differential diagnosis of hypertension . Hypertension is typically severe and often difficult to manage. The management of MAS should always be individualised and may include percutaneous transluminal renal angioplasty, stent implantation or surgical revascularisation. We present a 18 year-old woman with hypertension and MAS coexisting with bilateral renal artery stenosis who underwent left renal artery angioplasty and than was followed-up for one year.
Klinika Nadciśnienia Tętniczego, Instytut Kardiologii, Warsaw, Poland. florczakel@wp.pl
Elżbieta
E
Florczak
Jacek
J
Kądziela
Ilona
I
Michałowska
Magdalena
M
Makowiecka Cieśla
Magdalena
M
Januszewicz
Hanna
H
Janaszek Sitkowska
Aleksander
A
Prejbisz
Adam
A
Witkowski
Andrzej
A
Januszewicz
D000293:Adolescent; D017130:Angioplasty; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001015:Aortic Arch Syndromes / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications*; D011859:Radiography; D012078:Renal Artery Obstruction / Q000150:complications*