Kyriakides G K, Najarian J S
Surgery. 1979 Jun;85(6):611-6.
Five cases of renal autotransplantation for renovascular hypertension in children are described. Hypertension in these cases was managed temporarily with medications until the patients grew to a size that made an operative procedure feasible. Following operation the blood pressure returned to normal in three patients without any antihypertensive medication during the period of follow-up (8 months to 6 years). In the other two patients, small doses of antihypertensive medications still were needed, despite correction of the stenosis. The results of this series demonstrate that autotransplantation is a safe and effective procedure in childhood renovascular hypertension in contrast to other forms of vascular reconstruction, which carry a high rate of failure in this age group.
本文描述了5例儿童肾血管性高血压行自体肾移植的病例。这些病例中的高血压在患者长到足以进行手术的体型之前，通过药物进行了临时治疗。术后，3例患者在随访期间（8个月至6年）血压恢复正常，无需任何降压药物。另外2例患者尽管纠正了狭窄，但仍需要小剂量的降压药物。该系列结果表明，与其他血管重建形式相比，自体肾移植在儿童肾血管性高血压中是一种安全有效的手术，而其他血管重建形式在该年龄组的失败率很高。
