Abstract
Among neurocutaneous disorders, coarctation of the abdominal aorta and renal artery stenosis have traditionally been associated with neurofibromatosis. We report a 5-year-old girl who, during the evaluation of asymptomatic hypertension, was discovered to have bilateral renal artery stenosis, coarctation of the abdominal aorta, renal cysts and typical skin lesions of tuberous clerosis. Renal vascular hypertension has not been reported previously in tuberous sclerosis. We conclude that the tuberous sclerosis complex should be expanded to include vascular malformations and that hypertension should not be assumed to be secondary to renal hamartomata or cysts in patients with tuberous sclerosis.
References
Al-naaman YD, Samarrai AAR, Ghani AR, Al-naaman MR (1968) Congenital anomalies of the aorta and renal arteries associated with hypertension in children and young adults. J Cardiovasc Surg 14: 178
Blaufox MD (1971) Systemic hypertension in children and adolescents. Pediatr Clin N Am 18: 577
Halpern M, Currarino G (1965) Vascular lesions causing hypertension in neurofibromatosis. N Engl J Med 273: 248
Monagham H, Krafchik BR, MacGregor DL, Fitz CR (1981) Tuberous sclerosis complex in children. Am J Dis Child 135: 912
Reubi F (1945) Neurofibromatoses et lesions vasculaires. Schweiz Med Wochenschr 75: 463
Riemenscheider TA, Emmonouillides GC, Hirose F, Linde LM (1969) Coarctation of the abdominal aorta in children: report of three cases and review of the literature. Pediatrics 44: 716
Schurch W, Messerli FH, Genest J, LeFebure R, Roy P, Cartier P, Rojo-Ortego JM (1975) Arterial hypertension and neurofibromatosis: Renal artery stenosis and coarctation of the abdominal aorta. Can Med Assoc J 113: 879
Stapleton FB, Johnson D, Kaplan GW, Griswold W (1980) The cystic renal lesion in tuberous sclerosis. J Pediatr 97: 574
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Flynn, P.M., Robinson, M.B., Stapleton, F.B. et al. Coarctation of the aorta and renal artery stenosis in tuberous sclerosis. Pediatr Radiol 14, 337–339 (1984). https://doi.org/10.1007/BF01601889
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01601889