While percutaneous transluminal angioplasty (PTA) of renal artery stenoses was introduced five years ago in adults1 as a therapeutic modality for renal vascular hypertension with lasting success,2 to our knowledge, the application of PTA in children with this diagnosis has not been reported. We report the long-term effects of PTA of two renal artery stenoses in a 5-year-old boy with renovascular hypertension.
Report of a Case.—A 4½-year-old boy (weight, 17.5 kg; height, 105.5 cm) had a history of dizzy spells, headache, and three seizures during the previous month. Blood pressure was 180/130 mm Hg; urinalysis findings were normal. Stenoses in the left renal artery and in a right renal polar branch were shown angiographically (Fig 1, left), and renovascular hypertension was diagnosed after exclusion of other causes. The systemic renin activity was elevated (40 ng/mL/hr). The boy underwent bilateral PTA on Oct 23, 1980, while he was
GHISLA R, MAHLER F, HAERTEL M, KRNETA A, OETLIKER O, Rossi E. Lasting Antihypertensive Effect of Percutaneous Transluminal Angioplasty of Renal Artery Stenoses in a Child. Am J Dis Child. 1983;137(6):600-601. doi:10.1001/archpedi.1983.02140320076019