Document Detail


Splenorenal arterial bypass in a child with Takayasu's disease: a case report.
MedLine Citation:
PMID:  8640626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In adults splenorenal arterial bypass is a highly effective treatment for renovascular hypertension, but in children the procedure has been less successful because of the small size of the splenic artery. However, with the improvement in microvascular techniques the procedure is now possible in children. A 2-year-old child with Takayasu's arteritis, previous right nephrectomy and severe renovascular hypertension required revascularization to salvage his remaining left kidney. A splenorenal arterial bypass was performed through a left retroperitoneal flank incision. Postoperatively his creatinine level returned to normal and his requirements for antihypertensive medication were markedly diminished. The advantages of a splenorenal arterial bypass for left renal revascularization in a developing child are discussed.
Authors:
J Noy; G Lemermeyer; J C Mullen; F L Harley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  39     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-12     Completed Date:  1996-07-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Affiliation:
Division of Cardiothoracic Surgery, University of Alberta, Edmonton, Alta.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Antihypertensive Agents / therapeutic use
Child, Preschool
Creatinine / blood
Humans
Hypertension, Renovascular / blood,  etiology,  surgery*
Male
Nephrectomy*
Renal Artery / surgery*
Salvage Therapy / methods*
Splenic Artery / surgery*
Takayasu Arteritis / complications*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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