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Renovascular Hypertension Due To Bilateral Renal Artery Stenosis: A Case Report Of A 4-Month-Old Infant

Year 2020, Volume: 8 Issue: 3, 94 - 97, 25.12.2020
https://doi.org/10.21765/pprjournal.840729

Abstract

Renovascular hypertension is one of the most common causes of secondary hypertension. Renovascular hypertension causes 5-10% of childhood hypertension. Renal artery stenosis is the most important cause of renovascular hypertension. Patients with renovascular hypertension may be asymptomatic or present with many symptoms such as headache, vomiting, convulsion, heart disease, and sudden death. In renovascular hypertension, surgical treatment may be required in severe high blood pressure that does not respond to medical treatment.
In this study, we present a four-month-old infant who developed renovascular hypertension due to bilateral renal artery stenosis, which was controlled by angiotensin II receptor blockers.

References

  • 1. Rumman RK, Nickel C, Matsuda-Abedini M, Lorenzo AJ, Langlois V, Radhakrishnan S, et al. Disease beyond the arch: a systematic review of middle aortic syndrome in childhood. American journal of hypertension. 2015; 28: 833-846.
  • 2. Tullus K, Brennan E, Hamilton G, Lord R, McLaren CA, Marks SD, et al. Renovascular hypertension in children. The Lancet. 2008; 371: 1453-1463.
  • 3. Makker SP, Lubahn JD. Clinical features of renovascular hypertension in infancy: report of a 9-month-old infant. Pediatrics. 1975; 56: 108-110.
  • 4. Cook GT, Marshall VF, Todd JE. Malignant renovascular hypertension in a newborn. The Journal of urology. 1966; 96: 863-866.
  • 5. Arslan C, Bitargil M, Arapi B, Tel Ç, Tüzün KH. Renal Artery Stenosis and Aneurysm in a Child: Case Report. Damar Cerrahi Dergisi. 2014; 23: 186-189.
  • 6. Mir S, Kara PE, Dönmez O, Hoşcoşkun C, Kabasakal C. Renovascular Hypertension Due to Bilateral Renal Artery Stenosis and Surgical Treatment: A Case Report of a 14 Month-Old Infant. Turkiye Klinikleri Journal of Pediatrics. 2005; 14: 150.
  • 7. Yıldız S, Yaylalı YT. Renovasküler Hipertansiyon. Turkiye Klinikleri Cardiovascular Sciences. 2012; 24: 206-212.
  • 8. Marks SD, Tullus K. Update on imaging for suspected renovascular hypertension in children and adolescents. Current hypertension reports. 2012; 14: 591-595.
  • 9. Estepa NG, L. Orte, E. Puras, E. Aracil, J. Ortuño, R. Renovascular hypertension in children. Scandinavian journal of urology and nephrology. 2001; 35: 388-392.
  • 10. Olin JW, Pierce M. Contemporary management of fibromuscular dysplasia. Current opinion in cardiology. 2008; 23: 527-536.
  • 11. Saif I, Seriki D, Moore R, Woywodt A. Midaortic syndrome in neurofibromatosis type 1 resulting in bilateral renal artery stenosis. American Journal of Kidney Diseases. 2010; 56: 1197-1201.
  • 12. Martinez-Maldonado M. Pathophysiology of renovascular hypertension. Hypertension. 1991; 17 :707-719.
  • 13. Inagami T, Senbonmatsu T. Dual effects of angiotensin II type 2 receptor on cardiovascular hypertrophy. Trends in cardiovascular medicine. 2001; 11 :324-328.
  • 14. Flynn JT, Ingelfinger JR, Portman RJ. Pediatric hypertension.3 th ed.New York: Springer, 2013, p.600 .
  • 15. Gottam N, Nanjundappa A, Dieter RS. Renal artery stenosis: pathophysiology and treatment. Expert review of cardiovascular therapy. 2009; 7: 1413-420.
Year 2020, Volume: 8 Issue: 3, 94 - 97, 25.12.2020
https://doi.org/10.21765/pprjournal.840729

Abstract

References

  • 1. Rumman RK, Nickel C, Matsuda-Abedini M, Lorenzo AJ, Langlois V, Radhakrishnan S, et al. Disease beyond the arch: a systematic review of middle aortic syndrome in childhood. American journal of hypertension. 2015; 28: 833-846.
  • 2. Tullus K, Brennan E, Hamilton G, Lord R, McLaren CA, Marks SD, et al. Renovascular hypertension in children. The Lancet. 2008; 371: 1453-1463.
  • 3. Makker SP, Lubahn JD. Clinical features of renovascular hypertension in infancy: report of a 9-month-old infant. Pediatrics. 1975; 56: 108-110.
  • 4. Cook GT, Marshall VF, Todd JE. Malignant renovascular hypertension in a newborn. The Journal of urology. 1966; 96: 863-866.
  • 5. Arslan C, Bitargil M, Arapi B, Tel Ç, Tüzün KH. Renal Artery Stenosis and Aneurysm in a Child: Case Report. Damar Cerrahi Dergisi. 2014; 23: 186-189.
  • 6. Mir S, Kara PE, Dönmez O, Hoşcoşkun C, Kabasakal C. Renovascular Hypertension Due to Bilateral Renal Artery Stenosis and Surgical Treatment: A Case Report of a 14 Month-Old Infant. Turkiye Klinikleri Journal of Pediatrics. 2005; 14: 150.
  • 7. Yıldız S, Yaylalı YT. Renovasküler Hipertansiyon. Turkiye Klinikleri Cardiovascular Sciences. 2012; 24: 206-212.
  • 8. Marks SD, Tullus K. Update on imaging for suspected renovascular hypertension in children and adolescents. Current hypertension reports. 2012; 14: 591-595.
  • 9. Estepa NG, L. Orte, E. Puras, E. Aracil, J. Ortuño, R. Renovascular hypertension in children. Scandinavian journal of urology and nephrology. 2001; 35: 388-392.
  • 10. Olin JW, Pierce M. Contemporary management of fibromuscular dysplasia. Current opinion in cardiology. 2008; 23: 527-536.
  • 11. Saif I, Seriki D, Moore R, Woywodt A. Midaortic syndrome in neurofibromatosis type 1 resulting in bilateral renal artery stenosis. American Journal of Kidney Diseases. 2010; 56: 1197-1201.
  • 12. Martinez-Maldonado M. Pathophysiology of renovascular hypertension. Hypertension. 1991; 17 :707-719.
  • 13. Inagami T, Senbonmatsu T. Dual effects of angiotensin II type 2 receptor on cardiovascular hypertrophy. Trends in cardiovascular medicine. 2001; 11 :324-328.
  • 14. Flynn JT, Ingelfinger JR, Portman RJ. Pediatric hypertension.3 th ed.New York: Springer, 2013, p.600 .
  • 15. Gottam N, Nanjundappa A, Dieter RS. Renal artery stenosis: pathophysiology and treatment. Expert review of cardiovascular therapy. 2009; 7: 1413-420.
There are 15 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Vildan Güngörer

Resul Yılmaz 0000-0001-7672-8100

Ahmet Sert

Alaaddin Nayman

Şükrü  Arslan 0000-0001-5632-8273

Publication Date December 25, 2020
Acceptance Date January 10, 2021
Published in Issue Year 2020 Volume: 8 Issue: 3

Cite

Vancouver Güngörer V, Yılmaz R, Sert A, Nayman A, Arslan Ş. Renovascular Hypertension Due To Bilateral Renal Artery Stenosis: A Case Report Of A 4-Month-Old Infant. pediatr pract res. 2020;8(3):94-7.