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Central European Journal of Medicine

, Volume 9, Issue 3, pp 443–445 | Cite as

Severe renal vascular hypertension caused by upper left branch renal artery stenosis complicated with multiple thrombosis and cardiac hypertrophy

  • Danko Milošević
  • Danica Batinić
  • Sonja Hodžić
  • Maja Lemac
  • Marija Spajić
  • Daniel Turudić
  • Ana-Meyra Potkonjak
Case Report
  • 36 Downloads

Abstract

A severe hypertension was found in a 9 month old boy with signs and symptoms of severe arterial hypertension. An upper left branch renal artery stenosis complicated with multiple thrombosis and cardiac hypertrophy was diagnosed. Surgical heminephrectomy of the upper pole of the left kidney was successful in blood pressure normalization with significant improve of cardiac function and thrombosis recanalization.

Keywords

Arterial hypertension Left branch renal artery stenosis Cardiac hypertrophy Thrombosis Children 

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References

  1. [1]
    Kiessling SG, Wadhwa N, Kriss VM, Iocono J, Desai NS. An unusual case of severe therapy-resistant hypertension in a newborn. Pediatrics, 2007, 119(1), e301–304PubMedCrossRefGoogle Scholar
  2. [2]
    Flynn JT. Neonatal hypertension: diagnosis and management. Pediatr Nephrol, 2000, 14, 332–341PubMedCrossRefGoogle Scholar
  3. [3]
    Ingelfinger J. Renovascular disease in children. Kidney Int, 1993, 43, 493–505PubMedCrossRefGoogle Scholar
  4. [4]
    Reusz GS, Kis E, Cseprekal O, Szabo AJ, Kis E. Captopril-enhanced renal scintigraphy in the diagnosis of pediatric hypertension. Pediatr Nephrol, 2010, 25(2), 185–189PubMedCrossRefGoogle Scholar
  5. [5]
    Kimura H, Sato O, Deguchi JO, Miyata T. Surgical treatment and long-term outcome of renovascular hypertension in children and adolescents. Eur J Vasc Surg, 2010, 39(6), 731–737CrossRefGoogle Scholar
  6. [6]
    Chandar J, Zillerulo G. Hypertensive crisis in children. Pediatr Nephrol, 2012, 27(5), 741–751PubMedCrossRefGoogle Scholar
  7. [7]
    Marks SD, Tullus K. Update on imaging for suspected renovascular hypertension in children and adolescents. Curr Hypertens Rep, 2012, 14(6), 591–595PubMedCrossRefGoogle Scholar
  8. [8]
    Tullus K, Roebuck DJ, McLaren CA, Marks SD. Imaging in the evaluation of renovascular disease. Pediatr Nephrol, 2010, 25(6), 1049–1056PubMedCentralPubMedCrossRefGoogle Scholar
  9. [9]
    Ashley MS, Moneta G, Daneshmand S. Open partial nephrectomy for pediatric renovascular hypertension. Scientific World Journal, 2009, 28(9), 287–290CrossRefGoogle Scholar
  10. [10]
    Krause I., Cleper R, Kovalski Y, Sinai L, Davidovits M. Changes in behavior as as early symptom of renovascular hypertension in children, Pedaiatr Nephrol, 2009, 24(11), 2271–2274CrossRefGoogle Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Danko Milošević
    • 1
  • Danica Batinić
    • 1
  • Sonja Hodžić
    • 1
  • Maja Lemac
    • 1
  • Marija Spajić
    • 2
  • Daniel Turudić
    • 3
  • Ana-Meyra Potkonjak
    • 3
  1. 1.Department of Pediatric Nephrology, Dialysis and Transplantation, Clinical Hospital Center ZagrebUniversity of Zagreb Medical SchoolZagrebCroatia
  2. 2.General Hospital KarlovacKarlovacCroatia
  3. 3.University of Zagreb Medical SchoolZagrebCroatia

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