Sayed Ahmed, Elsharkawi Hesham, Awad Ahmed S, Emil Emad, El-Sayed Hosam
Vascular Surgery and Radiology Departments, Kasr Alainy Hospital, Cairo University, Egypt.
Abolreesh Pediatric Hospital, Cairo University, Egypt.
Methodist Debakey Cardiovasc J. 2014 Jul-Sep;10(3):190-2. doi: 10.14797/mdcj-10-3-190.
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 Following surgery, all antihypertensive medications were withdrawn.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.
我们报告一名7岁儿童，因双侧肾动脉狭窄导致高血压控制不佳。他接受了双侧肾血管成形术。右侧血管成形术成功实现了扩张，但左侧手术失败，导致几乎完全闭塞。由于血压控制不理想，他计划接受髂肾旁路手术。术后，所有降压药物均停用。术后18个月进行的计算机断层血管造影显示，右侧血管成形术通畅，左侧旁路手术通畅。对于这个年龄组的患者，血管内治疗和开放手术治疗都是可行的选择，且效果良好。
