Vol 24, No 1 (2018)
Case report
Published online: 2018-04-12
Aorto-renal bifurcation stenting in a juvenile non-specific aorto-arteritis: case report
DOI: 10.5603/AA.2018.0004
Acta Angiologica 2018;24(1):18-24.
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 juxtarenal 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 stentingcomputed tomographyjuvenile takayasu arteritispercutaneous endovascular therapysecondary hypertension
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