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KMID : 1037520220380020020
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Vascular Specialist International
2022 Volume.38 No. 2 p.20 ~ p.20
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Vein Graft Aneurysm after Aorto-Renal Bypass for Childhood Renovascular Hypertension Due to Fibromuscular Dysplasia
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Cho A-Ra
Ko Hyun-Min
Min Seung-Kee
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Abstract
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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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KEYWORD
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Renovascular hypertension, Fibromuscular dysplasia, Aneurysm, Saphenous vein
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