Renovascular hypertension in children

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Presentation transcript:

Renovascular hypertension in children Henry D. Berkowitz, MD, James A. O'Neill, MD  Journal of Vascular Surgery  Volume 9, Issue 1, Pages 46-55 (January 1989) DOI: 10.1016/0741-5214(89)90218-8 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 A, Stenosis of distal suture line of left aortorenal bypass 1 year after operation in mesh-supported graft. B, Successful PTA of suture line stenosis with continued patency 4 years after PTA. Journal of Vascular Surgery 1989 9, 46-55DOI: (10.1016/0741-5214(89)90218-8) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 A, Preoperative angiogram shows bilateral renal artery stenosis. Note minimal narrowing of abdomial aorta. B, Postoperative arteriogram shows functioning right aortorenal bypass without mesh support. Note functioning left splenorenal bypass. C, Aneurysmal vein graft 7 years after operation. Note newly acquired aortic stenosis. Journal of Vascular Surgery 1989 9, 46-55DOI: (10.1016/0741-5214(89)90218-8) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 A, Preoperative angiogram shows bilateral renal artery stenosis and middle aortic stenosis. B, Postoperative angiogram shows functioning aortorenal bypass with unsupported vein grafts and aortic bypass graft. Note generous curve of prosthetic graft to allow for future longitudinal growth. C, Aneurysmal vein grafts 5½ years postoperatively. Note elongation and flattening of prosthetic graft, probably secondary to longitudinal growth of native aorta. Also note persistence of meandering inferior mesenteric to superior mesenteric collateral because of occlusion of superior mesenteric artery. Journal of Vascular Surgery 1989 9, 46-55DOI: (10.1016/0741-5214(89)90218-8) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 A, Preoperative angiogram in patient with bilateral renal artery stenosis. Note normal aorta. B, Same patient 4½ years after operation. Bilateral mesh-supported aortorenal bypasses are functioning without evidence of dilatation. Note newly acquired mild aortic stenosis. Journal of Vascular Surgery 1989 9, 46-55DOI: (10.1016/0741-5214(89)90218-8) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions