|
KMID : 0811820140180010051
|
|
Journal of Korean Society of Pediatric Nephrology
2014 Volume.18 No. 1 p.51 ~ p.55
|
|
|
Renal Artery Aneurysm in a 13-year-old Child
|
|
Yeh Hye-Ryun
Kim Min-Jee
Kang Eun-Gu
Han Jee-Yeon
Lee Joo-Hoon
Park Young-Seo
|
|
|
Abstract
|
|
|
Primary renal artery aneurysm has been estimated to account for an incidenceof 0.015-1% with associated morbidities including renovascular hypertensionand rupture. Renovascular hypertension associated renal artery aneurysms inchildren is not a common disease. In patients with complicated renal vasculardisease, renal autotransplantation has been used as an alternative to percutaneoustransluminal angioplasty, which may be hazardous in these situations. We reporta case of a renal artery aneurysm in a 13-year-old Korean child presenting hypertensiondetected during school health examination. Preoperative workupdemonstrated a 2.8×2.1×1.9 cm saccular aneurysm in the right renal hilum thatwas not amendable to endovascular repair. A surgical strategy including extracorporealrenal artery reconstruction with autotransplantation was applied inorder to restore renal artery anatomy and to treat renovascular hypertension.
Immediately he complained of severe right flank pain and postoperative dopplersonography revealed lack of perfusion. On the 5th day after autotransplantation,the patient underwent a transplant nephrectomy. He was well postoperativelyand was found to have a normal kidney function and stable blood pressure controlwithout antihypertensive medication. This is the first pediatric case of renalartery aneurysm in Korea who underwent extracorporeal repair followed byautotransplantation failure. More pediatric cases with renal artery aneurysmshould be reported to identify therapeutic outcome and long term prognosis.
|
|
|
KEYWORD
|
|
|
Renal artery aneurysm, Renovascular hypertension, Renal autotransplantation, Pediatric
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|