Pediatric renovascular hypertension in Thailand: CT angiographic findings

Background: Renovascular disease is an uncommon but important cause of hypertension in children. When unrecognized and untreated, renovascular hypertension in children can have serious complications. Objective: To review the causes of renovascular hypertension and computed tomography angiographic (C...

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Main Authors: Pannee Visrutaratna, Tanop Srisuwan, Chusak Sirivanichai
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/59761
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-597612018-09-10T03:21:09Z Pediatric renovascular hypertension in Thailand: CT angiographic findings Pannee Visrutaratna Tanop Srisuwan Chusak Sirivanichai Medicine Background: Renovascular disease is an uncommon but important cause of hypertension in children. When unrecognized and untreated, renovascular hypertension in children can have serious complications. Objective: To review the causes of renovascular hypertension and computed tomography angiographic (CTA) findings in children and adolescents. Materials and methods: Twenty-eight CTAs from January 2004 to March 2008 of 23 children and adolescents with hypertension were reviewed for the causes and CTA findings. Results: Nine of the 23 children (39%) had abnormal renal arteries with or without abnormal abdominal aortas. Four of these children had Takayasu arteritis, one had moyamoya disease, and one had median arcuate ligament syndrome. One with chronic pyelonephritis had severe stenosis of the proximal right renal artery. The other two children had renal artery stenosis with a nonspecific cause. One child with a normal abdominal aorta and renal arteries had a right suprarenal mass. On pathological examination a ganglioneuroma was found. Conclusion: CTA can help in diagnosis of renovascular hypertension in children and adolescents. Although CTA is not a screening modality, it is appropriate in some situations. © 2009 Springer-Verlag. 2018-09-10T03:21:09Z 2018-09-10T03:21:09Z 2009-12-01 Journal 14321998 03010449 2-s2.0-71349083951 10.1007/s00247-009-1380-9 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=71349083951&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/59761
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Pannee Visrutaratna
Tanop Srisuwan
Chusak Sirivanichai
Pediatric renovascular hypertension in Thailand: CT angiographic findings
description Background: Renovascular disease is an uncommon but important cause of hypertension in children. When unrecognized and untreated, renovascular hypertension in children can have serious complications. Objective: To review the causes of renovascular hypertension and computed tomography angiographic (CTA) findings in children and adolescents. Materials and methods: Twenty-eight CTAs from January 2004 to March 2008 of 23 children and adolescents with hypertension were reviewed for the causes and CTA findings. Results: Nine of the 23 children (39%) had abnormal renal arteries with or without abnormal abdominal aortas. Four of these children had Takayasu arteritis, one had moyamoya disease, and one had median arcuate ligament syndrome. One with chronic pyelonephritis had severe stenosis of the proximal right renal artery. The other two children had renal artery stenosis with a nonspecific cause. One child with a normal abdominal aorta and renal arteries had a right suprarenal mass. On pathological examination a ganglioneuroma was found. Conclusion: CTA can help in diagnosis of renovascular hypertension in children and adolescents. Although CTA is not a screening modality, it is appropriate in some situations. © 2009 Springer-Verlag.
format Journal
author Pannee Visrutaratna
Tanop Srisuwan
Chusak Sirivanichai
author_facet Pannee Visrutaratna
Tanop Srisuwan
Chusak Sirivanichai
author_sort Pannee Visrutaratna
title Pediatric renovascular hypertension in Thailand: CT angiographic findings
title_short Pediatric renovascular hypertension in Thailand: CT angiographic findings
title_full Pediatric renovascular hypertension in Thailand: CT angiographic findings
title_fullStr Pediatric renovascular hypertension in Thailand: CT angiographic findings
title_full_unstemmed Pediatric renovascular hypertension in Thailand: CT angiographic findings
title_sort pediatric renovascular hypertension in thailand: ct angiographic findings
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=71349083951&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59761
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