Percutaneous transluminal coronary angioplasty for renovascular hypertension in a child: A case report

Chieng Shiun Lee, Betau Hwang, Pi Chang Lee, Yun Ching Fu, Hseuh Ping Hsing, Jen Her Lu, C. C.Laura Meng

Research output: Contribution to journalArticlepeer-review

Abstract

Since its introduction, percutaneous transluminal coronary angioplasty has become an alternative therapeutic modality to surgical and medical treatment for renovascular hypertension. We report the case of a nine-year- old boy who had hypertension caused by renal arterial stenosis. The patient's high blood pressure was 164/100 mmHg, which was discovered incidentally during a physical check-up. A selective renal angiography showed a severe short-segment stenosis with post-stenotic dilatation of the left renal artery. A 4-mm balloon catheter was advanced through the stenotic area and was inflated five times to dilate the stenosis. After the procedure, the selective renal angiography showed a significant increase in the diameter of the left renal artery. Blood pressure decreased to normal immediately after the procedure. During the one-year follow-up period, the patient remained normotensive without the use of antihypertensive drugs.

Original languageEnglish
Pages (from-to)733-737
Number of pages5
JournalChinese Medical Journal (Taipei)
Volume62
Issue number10
Publication statusPublished - Oct 1999
Externally publishedYes

Keywords

  • Percutaneous transluminal coronary angioplasty
  • Renal arterial stenosis
  • Renovascular hypertension

ASJC Scopus subject areas

  • Medicine(all)

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