Vasc Spec Int.
2022 Jun;38(2):20. 10.5758/vsi.220017.
Vein Graft Aneurysm after Aorto-Renal Bypass for Childhood Renovascular Hypertension Due to Fibromuscular Dysplasia
- Affiliations
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- 1Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
- 2Department of Surgery, Kyung Hee University Hospital, Seoul, Korea
- KMID: 2530924
- DOI: http://doi.org/10.5758/vsi.220017
Abstract
- Renovascular hypertension (RVHT) is a major cause of surgically correctable secondary hypertension. Refractory hypertension despite multiple antihypertensive drugs requires angioplasty, surgical revascularization, or even nephrectomy. Herein, we report a pediatric patient who had been treated with angioplasty, nephrectomy, and aortorenal bypass surgery for RVHT due to fibromuscular dysplasia and re-do endoaneurysmal graft replacement for a vein graft aneurysm. This case highlights the various treatment modalities for RVHT and the recurrent nature of the disease with a rare presentation of a vein graft aneurysm after aortorenal bypass.
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