Yoo Raphael, Alomari Ahmad I, Shaikh Raja, Davis Scott L, Ferguson Michael A, Vakili Kashayar, Kim Heung-Bae, Chaudry Gulraiz
Midaortic Syndrome and Renovascular Hypertension Program, 300 Longwood Avenue, Boston, MA 02115; Division of Vascular and Interventional Radiology, 300 Longwood Avenue, Boston, MA 02115.
Midaortic Syndrome and Renovascular Hypertension Program, 300 Longwood Avenue, Boston, MA 02115; Division of Nephrology, 300 Longwood Avenue, Boston, MA 02115.
J Vasc Interv Radiol. 2017 Aug;28(8):1184-1188. doi: 10.1016/j.jvir.2016.04.021.
A 5-year-old boy with midaortic syndrome who had undergone aortic bypass and bilateral renal artery grafts presented to the emergency department 1 year after surgery with symptoms of nausea, vomiting, and abdominal pain. Because of delay in diagnosis of bilateral renal artery thrombosis, his condition progressed to anuric renal failure. He underwent catheter-directed thrombolysis 7 days after presentation with administration of tissue plasminogen activator and heparin infusion over a 24-hour period. There was successful resolution of thrombus and complete recovery of renal function to baseline. The patient had normal renal function at 6-month follow-up.
