open access

Vol 24, No 1 (2018)
Case reports
Published online: 2018-04-12
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Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

Santosh Kumar Sinha, Vinay Krishna, Narendra Khanna, Lawrence Rajan, Mukesh Jitendra Jha, Vikas Mishra, Mohammad Asif, Ramesh Thakur, Mahmadula Razi
DOI: 10.5603/AA.2018.0005
·
Acta Angiologica 2018;24(1):25-29.

open access

Vol 24, No 1 (2018)
Case reports
Published online: 2018-04-12

Abstract

Takayasu Arteritis (TA) is a granulomatous inflammation of unknown aetiology affecting the aorta and its major branches with usual affliction among patients younger than 50 years and rarely among children. We present a 7-years old boy referred for evaluation of hypertension. He had a significant blood pressure difference between right arm, left arm and lower limbs. Computed tomography imaging of thorax and abdomen showed stenosis of left subclavian artery, left renal artery and juxtareanl aorta which was subsequently confirmed on aortogram. He underwent percutaneous endovascular therapy with aorto-renal bifurcation stenting with reduction of blood pressure and gradient. Renal angioplasty with stenting remains a challenging procedure in patients with tight ostial lesion, and juxtarenal aortic involvement in lieu of precise stent placement and avoiding side branch occlusion.

Abstract

Takayasu Arteritis (TA) is a granulomatous inflammation of unknown aetiology affecting the aorta and its major branches with usual affliction among patients younger than 50 years and rarely among children. We present a 7-years old boy referred for evaluation of hypertension. He had a significant blood pressure difference between right arm, left arm and lower limbs. Computed tomography imaging of thorax and abdomen showed stenosis of left subclavian artery, left renal artery and juxtareanl aorta which was subsequently confirmed on aortogram. He underwent percutaneous endovascular therapy with aorto-renal bifurcation stenting with reduction of blood pressure and gradient. Renal angioplasty with stenting remains a challenging procedure in patients with tight ostial lesion, and juxtarenal aortic involvement in lieu of precise stent placement and avoiding side branch occlusion.

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Keywords

Aorto-renal bifurcation stenting; Computed tomography; Juvenile Takayasu Arteritis; Percutaneous endovascular therapy; Secondary hypertension

About this article
Title

Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report

Journal

Acta Angiologica

Issue

Vol 24, No 1 (2018)

Pages

25-29

Published online

2018-04-12

DOI

10.5603/AA.2018.0005

Bibliographic record

Acta Angiologica 2018;24(1):25-29.

Keywords

Aorto-renal bifurcation stenting
Computed tomography
Juvenile Takayasu Arteritis
Percutaneous endovascular therapy
Secondary hypertension

Authors

Santosh Kumar Sinha
Vinay Krishna
Narendra Khanna
Lawrence Rajan
Mukesh Jitendra Jha
Vikas Mishra
Mohammad Asif
Ramesh Thakur
Mahmadula Razi

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