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  • Renovaskularna hipertenzija pri otrocih - diagnostični postopek, možnosti in zapleti zdravljenja : prikaz 3 primerov v letih 1997-2000 = Renovascular hypertension in children - diagnostic evaluation, management and complications of the treatment : a review of 3 cases in years 1997-2000
    Bračič, Katarina ...
    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. The children, two boys and one girl, were followed for 9-36 months. Clinical presentation includes: asymptomatic hypertension (n=3), abdominal murmur (n=I ). All had severe hypertension demanding a variety of antihypertensive drugs. Of the screening methods, radioisotope scintigraphy without captopril (99Tc-DTPA) was positive in two patients (case 1 and 3), increased peripheral renin activity in one patient (case 1), duplex Doppler sonographic investigation detected no stenosis of renal arteries in any of the 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 1 ) we confirmed a stenosis of the 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 ostialstenosis 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 1 and 3. The effort to dilate the renal arteries with percutaneous transluminal angioplasty (PTA) was unsuccessful in two attempts on one artery in case l, unsuccessful in one attempt on two arteries in case 3 where a rupture of the renal artery occurred during PTA, followcd by a barely controllable hypertensive crisis and renal insufficiency. (Abstract truncated at 2000 characters)
    Vir: Slovenska pediatrija : revija Združenja pediatrov Slovenije in Združenja specialistov šolske in visokošolske medicine Slovenije. - ISSN 1318-4423 (Letn. 7, suppl. 1, 2000, str. 191-200)
    Vrsta gradiva - prispevek na konferenci ; neleposlovje za odrasle
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 11349977

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