Examining Abnormal Non-stenotic Renal Arteries in Children With Hypertension
Journal of Pediatric Nephrology,
Vol. 10 No. 2 (2022),
Secondary hypertension is more common in children than adults, and renal disease is the
most common cause. Several studies have shown a relationship between abnormalities
in renal arterial vascularity and the onset of hypertension. We reported a case of
hypertension in a 10-year-old girl with elevated plasma renin and normal aldosterone
levels. Antihypertensive therapy was necessary to achieve blood pressure control, and
the final diagnosis of hypertension was obtained from Computed Tomography (CT)
angiography demonstrating unusual renal vascular abnormalities.
- Vascular Malformations
How to Cite
1. Luma GB, Spiotta RT. Hypertension in children and adolescents. Am Fam Physician. 2006 May 1;73(9):1558-68.
2. Patel PA, Cahill AM. Renovascular hypertension in children. CVIR Endovasc. 2021 Jan 7;4(1):10.
3. Lobeck IN, Alhajjat AM, Dupree P, Racadio JM, Mitsnefes MM, Karns R, Tiao GM, Nathan JD. The management of pediatric renovascular hypertension: a single center experience and review of the literature. J Pediatr Surg. 2018 Sep;53(9):1825-1831.
4. Rumman RK, Matsuda-Abedini M, Langlois V, Radhakrishnan S, Lorenzo AJ, Amaral J, Mertens L, Parekh RS. Management and Outcomes of Childhood Renal Artery Stenosis and Middle Aortic Syndrome. Am J Hypertens. 2018 May 7;31(6):687-695.
5. Marshall AG: Aberrant renal arteries and hypertension. Lancet2 :701 –705,1951
6. Derrick JR, Tyson DR: The association of aberrant renal arteries and systemic hypertension. Surgery48 :907 –912,1960
7. Davies ER, Sutton D: Hypertension and multiple renal arteries. Lancet13 :341 –344,1965
8. Glodny B, Cromme S, Wortler K, Winde G: A possible explanation for the frequent concomitance of arterial hypertension and multiple renal arteries. Med Hypotheses56 :129 –133,2001
9. Docx MK, Vandenberghe P, Maleux G, Gewillig M, Mertens L. Severe hypertension due to renal polar artery stenosis in an adolescent treated with coil embolization. Pediatr Radiol. 2009 Nov;39(11):1234-7.
10. Chan PL, Tan FHS. Renin dependent hypertension caused by accessory renal arteries. Clin Hypertens. 2018 Nov 1;24:15.
11. Omar R, Kisansa M, Dehnavi AD. The prevalence of anatomical variants of the coeliac trunk and renal arteries on contrast-enhanced abdominal computed tomography scans at Dr George Mukhari Academic Hospital. SA J Radiol. 2021 Jan 25;25(1):1990.
12. Rossi UG, Romano M, Ferro C. Seven renal arteries. Clin Anat. 2006 Oct;19(7):632-3.
13. Budhiraja V, Rastogi R, Asthana AK. Renal artery variations: embryological basis and surgical correlation. Rom J Morphol Embryol. 2010;51(3):533-6.
14. Cases C, García-Zoghby L, Manzorro P, Valderrama-Canales FJ, Muñoz M, Vidal M, Simón C, Sanudo JR, McHanwell S, Arrazola J. Anatomical variations of the renal arteries: Cadaveric and radiologic study, review of the literature, and proposal of a new classification of clinical interest. Ann Anat. 2017 May;211:61-68.
15. Shigueoka DC. Anatomic variations of the renal arteries, as characterized by computed tomography angiography: rule or exception? Its usefulness in surgical plannning. Radiol Bras. 2016 Jul-Aug;49(4):VII-VIII.
16. Reginelli A, Somma F, Izzo A, Urraro F, D'Andrea A, Grassi R, Cappabianca S. Renovascular anatomic variants at CT angiography. Int Angiol. 2015 Dec;34(6 Suppl 1):36-42
17. Manaktala R, Tafur-Soto JD, White CJ. Renal Artery Stenosis in the Patient with Hypertension: Prevalence, Impact and Management. Integr Blood Press Control. 2020;13:71-82
- Abstract Viewed: 41 times
- pdf Downloaded: 125 times