Access the full text.
Sign up today, get DeepDyve free for 14 days.
James Stanley, G. Zelenock, Louis Messina, Thomas Wakefield (1995)
Pediatric renovascular hypertension: a thirty-year experience of operative treatment.Journal of vascular surgery, 21 2
C. West, K. Delis, Geoffrey Service, D. Driscoll, I. McPhail, P. Gloviczki (2005)
Middle aortic syndrome: surgical treatment in a child with neurofibromatosis.Journal of vascular surgery, 42 6
R. Chalmers, A. Dhadwal, J. Deal, P. Sever, J. Wolfe (2000)
The surgical management of renovascular hypertension in children and young adults.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 19 4
Yu-Jan Lin, B. Hwang, Pi‐Chang Lee, Ling-Yu Yang, C. Meng (2008)
Mid-aortic syndrome: a case report and review of the literature.International journal of cardiology, 123 3
J. Stanley, E. Criado, G. Upchurch, P. Brophy, K. Cho, J. Rectenwald, D. Kershaw, David Williams, R. Berguer, P. Henke, T. Wakefield (2006)
Pediatric renovascular hypertension: 132 primary and 30 secondary operations in 97 children.Journal of vascular surgery, 44 6
K. König, J. Gellermann, U. Querfeld, Martin Schneider (2006)
Treatment of severe renal artery stenosis by percutaneous transluminal renal angioplasty and stent implantationPediatric Nephrology, 21
Y. Panayiotopoulos, M. Tyrrell, G. Koffman, J. Reidy, G. Haycock, P. Taylor (1996)
Mid‐aortic syndrome presenting in childhoodBritish Journal of Surgery, 83
A. Bayazıt, F. Yalçınkaya, N. Çakar, A. Duzova, Z. Bircan, A. Bakkaloğlu, N. Canpolat, N. Kara, A. Şirin, M. Eki̇m, A. Oner, S. Akman, S. Mir, E. Baskın, H. Poyrazoğlu, A. Noyan, I. Akil, S. Bakkaloğlu, A. Soylu (2007)
Reno-vascular hypertension in childhood: a nationwide surveyPediatric Nephrology, 22
ObjectiveMidaortic syndrome is a rare condition found primarily in children that causes stenosis of the abdominal aorta and its proximal branches. Duplex interpretation criteria derived from adults do not necessarily apply to the pediatric population but are sometimes used empirically in specific cases. We report the case of a 5-year-old girl whose aorta and renal arteries were studied by duplex ultrasound, with anatomic and radiologic correlation.Case ReportThe patient was a 5-year-old girl with refractory hypertension on multiple antihypertensive medications. Her initial diagnosis of midaortic syndrome was made via duplex ultrasound. The findings were confirmed by angiography and showed smooth narrowing of the mid- to distal abdominal aorta with concomitant bilateral renal artery origin stenosis. Surgical repair of the aorta was performed with the use of a patch angioplasty technique with pulmonary artery homograft. The left renal artery was re-implanted onto the infrarenal aorta and an aorta to right renal artery bypass graft was placed using autogenous left internal iliac artery. Duplex ultrasound was then used to evaluate the success of the surgical repair.ConclusionDuplex ultrasound proved effective in the preoperative and postoperative care of this small child with midaortic syndrome and renal artery stenosis. The standard adult criteria for renal artery stenosis can be used selectively in children to assist in the diagnosis of unusual vascular conditions.
Journal for Vascular Ultrasound – SAGE
Published: Sep 1, 2011
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.