All issues > Volume 32(5); 1989

Original Article

J Korean Pediatr Soc. 1989;32(5):705-712. Published online May 31, 1989.

A Case of Renovascular Hypertension.

Kang Oh Lee¹, Soo Gi Kang¹, Mi Ja Yoon¹, Hyung Ja Park¹, Bok Lyun Kim¹, Shin na Kim¹, Hae Il Cheong², In One Kim³, Kyung Mo Yeon³

¹Department of Pediatrics, Dong-Boo City Hospital， Seoul, Korea
²Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
³Department of Radiology , College of Medicine, Seoul National University, Seoul, Korea

Received: September 30, 1988;  Accepted: November 21, 1988.

Abstract

Recently, we experienced a case of renovascular hypertension in 7 year-old boy, who came with chief complaints of protracted vomiting and severe headache for 2 days. Right after admission, he developed seizure and loss of consciousness lasting 5 minutes. Blood pressure was 230/180 mmHg at that time. Diagnostic studies were done with plasma renin activity, rapid sequence pyelography and arteriography, which showed severe focal narrowing of left renal artery. Following successful percutaneous translumunal angioplasty, peripheral plasma re in activity became normal and blood pressure dropped markedly. Since then the patient has been treated with either captopil-beta blocker or captopril-diuretics with good result. We report the case with brief review of literatures.

Keywords :Renovascular hypertension, Fibromuscular dysplasia, Percutaneous transluminal angioplasy