Ruffa G, Valente V, Sbolgi P, Cariati M, Arcuri V, Grandinetti A, Nigro M
II Clinica Pediatrica G. Gaslini Ospedale San Martino, Università degli Studi, Genova.
Minerva Pediatr. 1995 Apr;47(4):141-5.
The authors describe a patient with stenosis of the renal artery undergoing bilateral kidney autotransplantation and reconstruction of the aorta with autologous saphena. This study also provides a general evaluation of renovascular hypertension incidence, etiopathogenesis, symptomatology, diagnostic criteria, therapy. The presence of a diastolic pressure > 110 mmHg, with normal creatinin levels and urinalysis results, is very significant and leads to invasive investigations. Site and size of the anatomic anomaly are evaluated by arteriography. Surgery is the treatment of choice.
作者描述了一名肾动脉狭窄患者接受双侧肾脏自体移植及自体大隐静脉重建主动脉的情况。本研究还对肾血管性高血压的发病率、病因发病机制、症状、诊断标准及治疗进行了综合评估。舒张压>110 mmHg,肌酐水平及尿液分析结果正常,这种情况非常重要,需进行侵入性检查。通过动脉造影评估解剖异常的部位和大小。手术是首选治疗方法。