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Successful Renal Autotransplantation for the Treatment of Severe Renovascular Hypertension in a 14-year-old Boy

Other Titles
 신 자가이식을 통한 14세 소년에서 발생한 심한 신성 고혈압의 성공적인 치료 
Authors
 Min Chul Ji  ;  Se Jin Park  ;  Jae Young Choi  ;  Young Guk Ko  ;  Myoung Soo Kim  ;  Ji Hong Kim  ;  Jae Il Shin 
Citation
 Journal of the Korean Society of Pediatric Nephrology (대한소아신장학회지), Vol.14(2) : 223-229, 2010 
Journal Title
Journal of the Korean Society of Pediatric Nephrology(대한소아신장학회지)
ISSN
 1226-5292 
Issue Date
2010
Keywords
Renovascular ; hypertension ; percutaneous transluminal renal angioplasty ; renal autotransplantation ; Children
Abstract
Percutaneous transluminal renal angioplasty (PTRA) is the current treatment of choice for renal artery revascularization, but renal autotransplantation has been an alternative treatment for complex cases. Here we report a 14-year-old boy with severe hypertension successfully treated with PTRA and renal autotransplantation. Doppler ultrasonography and computed tomography (CT) angiography revealed slight narrowing in the right renal artery ostium and complete obstruction in the left renal artery ostium with multiple collaterals. PTRA with stent insertion was performed for the treatment of the right renal artery, but it was impossible for the left renal artery due to the total obstruction. Therefore, left nephrectomy for autotransplantation was done with the peritoneal approach and the left kidney was autotransplanted to the ipsilateral iliac fossa. Postoperatively, Doppler ultrasonography and mercapto-acetyl-triglycine (MAG-3) renogram were performed, which showed normal renal artery blood flow and kidney function. Blood pressure was normalized and anti-hypertensive drugs were gradually tapered. Fibromuscular dysplasia was suspected to be responsible for the renal artery stenosis based on clinical aspects. In conclusion, renal autotransplantation is also a good treatment option for children with severe renovascular hypertension when endovascular treatment has failed or is not possible
Files in This Item:
T201005556.pdf Download
DOI
10.3339/jkspn.2010.14.2.223
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Young Guk(고영국) ORCID logo https://orcid.org/0000-0001-7748-5788
Kim, Myoung Soo(김명수) ORCID logo https://orcid.org/0000-0002-8975-8381
Kim, Ji Hong(김지홍) ORCID logo https://orcid.org/0000-0001-5352-5423
Park, Se Jin(박세진)
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103121
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