Abstract
In children, up to 10% of the cases of arterial hypertension may be caused by a renovascular disease. The etiology of this renovascular disease is most of the time due to a fibromuscular dysplasia (FMD), which causes a noninflammatory intimal-medial fibroplasia leading to luminal compromise. Percutaneous transluminal angioplasty of FMD is a worldwide-accepted treatment modality for this serious arterial disease with, so far, good safety and long-term efficacy data. Once FMD involves several arterial compartments leading to symptoms the outcomes are poor. Herein we report the case of a 3½-year-old boy with severe arterial hypertension and abdominal angina due to a diffuse multivisceral FMD involvement, successfully managed by a percutaneous angioplasty approach using a new balloon catheter for plaque modulation.
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Bonvini, R.F., Rastan, A., Sixt, S. et al. Diffuse fibromuscular dysplasia successfully treated with scoring balloon angioplasty in a 3-year-old boy. Heart Vessels 24, 460–462 (2009). https://doi.org/10.1007/s00380-009-1147-0
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DOI: https://doi.org/10.1007/s00380-009-1147-0