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James C. Stanley, MD, Enrique Criado, MD, Gilbert R

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Presentation on theme: "James C. Stanley, MD, Enrique Criado, MD, Gilbert R"— Presentation transcript:

1 Pediatric renovascular hypertension: 132 primary and 30 secondary operations in 97 children 
James C. Stanley, MD, Enrique Criado, MD, Gilbert R. Upchurch, MD, Patrick D. Brophy, MD, Kyung J. Cho, MD, John E. Rectenwald, MD  Journal of Vascular Surgery  Volume 44, Issue 6, Pages (December 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Typical renal artery ostial stenosis with a diameter of 3 mm exhibiting proliferation of intimal tissues, internal elastic lamina fragmentation, medial thinning, and excessive periadventitial elastin (Movat stain, original magnification × 200). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Ostial renal artery stenosis in a 4-year-old girl with neurofibromatosis-1. A very narrow proximal artery (arrow) transverses the aortic wall. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Magnetic resonance angiography study shows midrenal artery stenoses (arrows) in 17-year-old girl, presumed to be inflammatory arteritis of unknown type. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Bilateral renal artery-aortic implantations in a 7-year-old boy. Note the generous aortic anastomosis after spatulation of the renal artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Segmental renal artery implantation into the distal main renal artery (arrow) in a 15-year-old boy. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Aortorenal bypass with an internal iliac artery graft in a 4-year-old boy. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Renal artery-aortic implantations in a 6-year-old boy undergoing proximal abdominal patch aortoplasty (arrow) for an intrarenal abdominal aortic coarctation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

9 Fig 8 Renal artery-aortic (white arrow) and superior mesenteric artery-aortic (black arrow) implantations in a 16-year-old boy undergoing a thoracoabdominal bypass for a suprarenal abdominal aortic coarctation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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