Korean J Anesthesiol.  2014 Oct;67(4):275-278. 10.4097/kjae.2014.67.4.275.

Anesthetic management of hypertensive crisis in a three-year-old patient with undiagnosed severe renal artery stenosis: a case report

• Park SH
• Lee YS
• Min TJ
• Kim WY
• Kim JH
• Park YC

• KMID: 1937688
• DOI: http://doi.org/10.4097/kjae.2014.67.4.275

Abstract

Pediatric hypertensive crisis is a potentially life threatening medical emergency, usually secondary to an underlying disease. Hypertension commonly occurs during general anesthesia, and is usually promptly and appropriately treated by anesthesiologists. However in children with severe, unexplained, or refractory hypertension, it has the potential to cause morbidity and even mortality in susceptible patients. We report an anesthetic management of an unexpected hypertensive crisis that developed during general anesthesia in a three-year-old girl with undiagnosed severe left renal artery stenosis.

Keyword

Anesthesia; Child; Renovascular hypertension

MeSH Terms

Anesthesia
Anesthesia, General
Child
Emergencies
Female
Humans
Hypertension
Hypertension, Renovascular
Mortality
Renal Artery Obstruction*