Diagnosis of renovascular hypertension in children and adolescents

Abstract

THE AIM. Evaluation of the diagnostic significance of angiography in children with hypertensive syndrome. PATIENTS AND METHODS. The study is done on 11 children aged 2 to 18 years with arterial hypertension, and it evaluates the results of the clinical study, duplex ultrasound scan, MRI or CT, angiography. RESULTS. In 4 of the 11 children with renovascular hypertension, renal artery stenosis was diagnosed in rare syndromes and neuroblastoma, the other 7 children were diagnosed with unilateral renal artery stenosis (5), bilateral (2). 2 children in the study had a rare Mid-aortic syndrome characterized by the narrowing of the abdominal aorta and bilateral renal artery stenosis. In the study are discussed the diagnosis and treatment of renal artery stenosis and Mid-aortic syndrome in children. CONCLUSION. If you suspect (according to Doppler ultrasound, scintigraphy performed with kapoten, MRI, CT) renal artery stenosis or its branches and Mid-aortic syndrome in children with hypertension, renal artery and abdominal aorta angiography is recommended.