Skip to main content

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

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.

This is a preview of subscription content, access via your institution.

References

  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), e301–304

    PubMed  Article  Google Scholar 

  2. Flynn JT. Neonatal hypertension: diagnosis and management. Pediatr Nephrol, 2000, 14, 332–341

    CAS  PubMed  Article  Google Scholar 

  3. Ingelfinger J. Renovascular disease in children. Kidney Int, 1993, 43, 493–505

    CAS  PubMed  Article  Google Scholar 

  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), 185–189

    PubMed  Article  Google Scholar 

  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), 731–737

    CAS  Article  Google Scholar 

  6. Chandar J, Zillerulo G. Hypertensive crisis in children. Pediatr Nephrol, 2012, 27(5), 741–751

    PubMed  Article  Google Scholar 

  7. Marks SD, Tullus K. Update on imaging for suspected renovascular hypertension in children and adolescents. Curr Hypertens Rep, 2012, 14(6), 591–595

    CAS  PubMed  Article  Google Scholar 

  8. Tullus K, Roebuck DJ, McLaren CA, Marks SD. Imaging in the evaluation of renovascular disease. Pediatr Nephrol, 2010, 25(6), 1049–1056

    PubMed Central  PubMed  Article  Google Scholar 

  9. Ashley MS, Moneta G, Daneshmand S. Open partial nephrectomy for pediatric renovascular hypertension. Scientific World Journal, 2009, 28(9), 287–290

    Article  Google Scholar 

  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), 2271–2274

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Danko Milošević.

About this article

Verify currency and authenticity via CrossMark

Cite this article

Milošević, D., Batinić, D., Hodžić, S. et al. Severe renal vascular hypertension caused by upper left branch renal artery stenosis complicated with multiple thrombosis and cardiac hypertrophy. cent.eur.j.med 9, 443–445 (2014). https://doi.org/10.2478/s11536-013-0299-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-013-0299-6

Keywords

  • Arterial hypertension
  • Left branch renal artery stenosis
  • Cardiac hypertrophy
  • Thrombosis
  • Children