Document Detail

Renovascular hypertension complicating neurofibromatosis.
MedLine Citation:
PMID:  3918494     Owner:  NLM     Status:  MEDLINE    
Three patients, ages 13 months, 13 years, and 16 years, with renovascular hypertension complicating neurofibromatosis underwent vascular reconstruction with good results. A review of these patients, plus 47 additional patients from the literature, constitutes the basis of this report. The standard intravenous pyelogram revealed abnormalities in only 46 per cent of the patients. Definitive diagnosis required angiography and selective renal vein renin determinations. Unilateral and bilateral lesions were seen with equal frequency. Associated arterial abnormalities were common. Medical treatment and balloon angioplasty failed to control the blood pressure in all patients. Surgical therapy, either nephrectomy or vascular reconstruction, cured or significantly improved 95 per cent of the patients. Although one primary goal of operation is renal salvage, 40 per cent of the patients in this review underwent nephrectomy to control their hypertension.
D L Elias; R R Ricketts; R B Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  51     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-05     Completed Date:  1985-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  97-106     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Facial Neoplasms / complications
Hypertension, Renovascular / diagnosis,  etiology*,  surgery
Neurofibromatosis 1 / complications*
Renal Artery / radiography,  surgery
Renin / blood
Reg. No./Substance:

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