Guzzetta P C, Davis C F, Ruley E J
Department of Pediatric Surgery, George Washington University, Washington, DC 20010.
J Pediatr Surg. 1991 May;26(5):532-4. doi: 10.1016/0022-3468(91)90699-t.
Since 1981, eight children have been treated at this hospital for hypertension due to bilateral renal artery stenosis (RAS). Useful diagnostic studies were DTPA renal scan following pretreatment with captopril, and selective renal angiography. All patients underwent attempted surgical revascularization of the RAS and three had aortoaortic bypass of an abdominal aortic narrowing. Of the 14 kidneys that had repair of RAS, a successful outcome was obtained in 11 (80%). Three patients required unilateral nephrectomy. Five of eight patients are normotensive and off all medications, and three are normotensive on reduced medication doses.
自1981年以来，该医院已收治了8名因双侧肾动脉狭窄（RAS）导致高血压的儿童患者。有用的诊断性检查包括卡托普利预处理后的二乙三胺五乙酸（DTPA）肾扫描以及选择性肾血管造影。所有患者均尝试进行RAS的外科血管重建术，其中3例接受了腹主动脉狭窄的主动脉主动脉旁路移植术。在14个接受RAS修复的肾脏中，11个（80%）取得了成功的结果。3例患者需要进行单侧肾切除术。8例患者中有5例血压正常且停用了所有药物，3例在减少药物剂量的情况下血压正常。
