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[Surgical treatment of renal artery stenosis in children]

M Lacombe1

  • 1Hôpital Beaujon, Clichy.

Chirurgie Pediatrique
|January 1, 1989
PubMed

Insights

Surgical repair of renal artery stenosis in children achieved a 91% success rate, normalizing blood pressure in most patients. This effective treatment addresses renovascular hypertension, offering a good long-term prognosis for pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Cardiovascular Surgery
  • Nephrology

Background:

  • Renal artery stenosis (RAS) is a significant cause of secondary hypertension in children.
  • Early diagnosis and intervention are crucial for preventing long-term renal damage and cardiovascular complications.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of surgical treatment for renal artery stenosis in pediatric patients.
  • To assess the long-term blood pressure control and prognosis following surgical correction of RAS.

Main Methods:

  • A cohort of 56 children with unilateral or bilateral renal artery stenosis underwent surgical intervention.
  • Procedures included nephrectomies and vascular repair, with follow-up ranging from 1 to 14 years.

Main Results:

  • A 91% success rate was observed, with 51 patients achieving normal blood pressure post-surgery without antihypertensive medication.
  • Five patients had persistent hypertension due to renal parenchymal lesions.
  • Fibrous dysplasia was the most common pathological finding; associated vascular lesions were frequent.

Conclusions:

  • Surgical treatment for pediatric renal artery stenosis offers a high success rate in normalizing blood pressure.
  • The prognosis for renovascular hypertension in children is generally favorable due to the absence of typical atherosclerotic and degenerative lesions seen in adults.

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