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Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report
Affiliations- Department of Cardiology. LPS Institute of Cardiology, G.S.V.M. Medical College Uttar Pradesh, 208002 Kanpur, India
- Interventional Cardiologist, Department of cardiology, Community Health centre. Kentuchky, USA, United States
open access
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.
Keywords
Aorto-renal bifurcation stenting; Computed tomography; Juvenile Takayasu Arteritis; Percutaneous endovascular therapy; Secondary hypertension
About this articleTitle
Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report
Journal
Issue
Article type
Case report
Pages
25-29
Published online
2018-04-12
Page views
885
Article views/downloads
895
DOI
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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