Murashita Takashi, Kanemitsu Hideo, Fukunaga Naoto, Konishi Yasunobu, Nakamura Ken, Sakon Yoshito, Koyama Tadaaki
Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
Ann Vasc Dis. 2014;7(1):56-9. doi: 10.3400/avd.cr.13-00067. Epub 2014 Feb 4.
A 4-year male was referred to our hospital for high fever. Incidentally, abnormally high blood pressure was detected. A thorough examination revealed severe stenosis at the origin of two left renal arteries and elevation of plasma renin activity as well as aldosterone level. Some lesions of previous asymptomatic brain bleeding were also revealed. Instead of using prosthetic materials, we transected renal arteries and directly anastomosed them to abdominal aorta, expecting subsequent growth of native vessels. The postoperative course was uneventful. The plasma renin activity and aldosterone level as well as the dose of antihypertensive drug decreased significantly after the operation.
一名4岁男性因高热被转诊至我院。偶然间，发现其血压异常升高。全面检查发现左肾动脉起始处严重狭窄，血浆肾素活性及醛固酮水平升高。还发现了一些既往无症状性脑出血的病灶。我们未使用人工材料，而是横断肾动脉并将其直接与腹主动脉吻合，期望原生血管随后生长。术后过程顺利。术后血浆肾素活性、醛固酮水平以及降压药物剂量均显著下降。
