Vasc Spec Int.  2022 Jun;38(2):20. 10.5758/vsi.220017.

Vein Graft Aneurysm after Aorto-Renal Bypass for Childhood Renovascular Hypertension Due to Fibromuscular Dysplasia

Affiliations
  • 1Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Surgery, Kyung Hee University Hospital, Seoul, Korea

Abstract

Renovascular hypertension (RVHT) is a major cause of surgically correctable secondary hypertension. Refractory hypertension despite multiple antihypertensive drugs requires angioplasty, surgical revascularization, or even nephrectomy. Herein, we report a pediatric patient who had been treated with angioplasty, nephrectomy, and aortorenal bypass surgery for RVHT due to fibromuscular dysplasia and re-do endoaneurysmal graft replacement for a vein graft aneurysm. This case highlights the various treatment modalities for RVHT and the recurrent nature of the disease with a rare presentation of a vein graft aneurysm after aortorenal bypass.

Keyword

Renovascular hypertension; Fibromuscular dysplasia; Aneurysm; Saphenous vein
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