Author/Editor		Bračič, K; Gregorič, A; Miksič, K; Matela, J
Title		Renovaskularna hipertenzija pri otrocih - diagnostični postopek, možnosti in zapleti zdravljenja. Prikaz 3 primerov v letih 1997 - 2000
Translated title		Renovascular hypertension in children - diagnostic evaluation, management and complicationes of the treatment. A review of 3 cases in years 1997 - 2000
Type		članek
Source		In: Buturović-Ponikvar J, Bren AF, editors. Zbornik 2. slovenski nefrološki kongres z mednarodno udeležbo ob 30. letnici dialize in transplantacije ledvic v Sloveniji; 2000 sep 27-30; Brdo pri Kranju. Ljubljana: Klinični center, Klinični oddelek za nefrologijo,
Publication year		2000
Volume		str. 75-89
Language		slo
Abstract		The aim of the study was to show the clinical symptoms, screening tests, angiography findings, therapeutic possibilities and complications in treating renovascular hypertension (RVH) in three children aged 7,8 to 9,4 years, in whom the diagnosis of RVH was assessed at the Maribor Department of Paediatrics between 1997 and 2000. Three children, two boys and one girl, were followed for 9-36 months. Clinical presentation includes: asymptomatic hypertension (n = 3), abdominal murmur (n =1). All had sever hypertension demanding a variety of anti hypertensive drugs. Of the screening methods, radioisotope scintigraphy without captopril (99mTc DTPA) was positive in two patients (case I and 3), increased peripheral renin activity in one patient (case I), duplex Doppler sonographic investigation detected no stenosis of renal arteries in any of three children while a stenosis of the abdominal aorta was found in one child. The diagnosis was made by means of angiography. In one child (case I) we confirmed a stenosis of main left renal artery and the branch for the inferior kidney pole, with a small left kidney. In the second child we detected (case 2) a stenosis of the abdominal aorta and ostial stenosis of both renal arteries (middle aortic syndrome) with numerous collaterals. In the third child (case 3) we found bilateral stenoses of main renal arteries with an aneurysm and poststenotic dilatations. In case 2 hypertension responded well to antihypertensive drugs and poorly in cases I and 3. The effort to dilate the renal arteries with percutaneous transluminal angioplasty (PTA) was unsuccessful in two attempts on one artery in case 1, unsuccessful in one attempt on two arteries in case 3 where a rupture of the renal artery occurred during PTA, followed by a barely controllable hypertensive crisis and renal insufficiency. (Abstract truncated at 2000 characters.)
Descriptors		HYPERTENSION, RENOVASCULAR RENAL ARTERY OBSTRUCTION CHILD