Robitaille P, Garel L, Duois J, Mongeau J G
Department of Pediatrics, Hôpital Sainte-Justine, Université de Montréal, Canada.
Acta Paediatr. 1994 Sep;83(9):998-1001. doi: 10.1111/j.1651-2227.1994.tb13193.x.
We describe two infants with bilateral renal artery stenoses and severe hypertension. Adequate control of blood pressure was achieved by medical management. Endoluminal balloon dilatation of the renal arteries had been deferred because of their small size. On follow-up it was noticed that blood pressure had become progressively easier to control, with lesser amounts of antihypertensive medication. In fact, medication could be completely discontinued and blood pressure remained normal. On repeat arteriogram, bilateral renal artery stenoses had almost resolved in both patients. The etiology of the stenoses was not established in these patients. However, regardless of etiology, the transient nature of hypertension and renal artery stenoses in these two cases demonstrates that patient medical management of hypertension in infants can be a valid therapeutic option and occasionally obviate the need for unnecessary risky procedures.
我们描述了两名患有双侧肾动脉狭窄和严重高血压的婴儿。通过药物治疗实现了血压的充分控制。由于肾动脉管径较小，肾动脉腔内球囊扩张术被推迟。在随访中发现，血压逐渐变得更容易控制，所需的抗高血压药物剂量减少。事实上，药物可以完全停用，血压仍保持正常。再次进行动脉造影时，两名患者的双侧肾动脉狭窄几乎都已消失。这些患者狭窄的病因尚未明确。然而，无论病因如何，这两例高血压和肾动脉狭窄的短暂性表明，婴儿高血压的患者药物治疗可能是一种有效的治疗选择，偶尔可避免不必要的有风险的手术。
