Tostain J, Freycon M T, Allard D, Gilloz A
J Urol (Paris). 1980;86(8):601-4.
Renovascular hypertension in a 15-years-old girl, originating in a lower pole aberrant renal artery stenosis by fibromuscular hyperplasia. Microsurgical management by polar artery reimplantation in the renal artery. Unknown evolutivity and diffusion of arterial dysplasias explain the more and more distal repairs reported in literature concerned with renovascular hypertension in infancy and childhood. Nephrectomy and segmental resection are now only done when revascularization is not possible.
一名15岁女孩的肾血管性高血压,病因是下极异常肾动脉因纤维肌增生而狭窄。通过将极动脉重新植入肾动脉进行显微外科治疗。动脉发育异常的演变和扩散情况不明,这解释了文献中报道的针对婴幼儿和儿童肾血管性高血压进行的越来越远端的修复手术。现在只有在无法进行血管重建时才会进行肾切除术和节段性切除术。