title: Case report: Bilateral renal artery stenosis in a 7-year-old child.
abstract: We present a 7-year-old child with uncontrolled hypertension caused by bilateral renal artery stenosis. He underwent renal angioplasty on both sides. While the right side showed successful dilatation, the left side was unsuccessful, leaving a near total occlusion. Due to the lack of satisfactory control of his blood pressure, he was scheduled for an iliorenal bypass. Following surgery, all antihypertensive medications were withdrawn. Computed tomography angiography performed 18 months after surgery showed patent angioplasty on the right side and patent bypass on the left side. Both endovascular and open surgical treatments are feasible options with good results in this age group.
authors.affiliation: Vascular Surgery and Radiology Departments, Kasr Alainy Hospital, Cairo University, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sayed
authors.affiliation: Vascular Surgery and Radiology Departments, Kasr Alainy Hospital, Cairo University, Egypt.
authors.forename: Hesham
authors.initials: H
authors.lastname: Elsharkawi
authors.affiliation: Vascular Surgery and Radiology Departments, Kasr Alainy Hospital, Cairo University, Egypt.
authors.forename: Ahmed S
authors.initials: AS
authors.lastname: Awad
authors.affiliation: Abolreesh Pediatric Hospital, Cairo University, Egypt.
authors.forename: Emad
authors.initials: E
authors.lastname: Emil
authors.affiliation: Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas.
authors.forename: Hosam
authors.initials: H
authors.lastname: El-Sayed
mesh_terms: D000800:Angioplasty, Balloon; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D002648:Child; D003131:Combined Modality Therapy; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D000959:Antihypertensive Agents
keywords: renal artery stenosis; renovascular hypertension