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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

Amro Alsharabi, Tomasz Jakimowicz, Piotr Hammer, Sławomir Nazarewski
DOI: 10.5603/AA.2018.0004
·
Acta Angiologica 2018;24(1):18-24.

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 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.

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.

Get Citation

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

18-24

Published online

2018-04-12

DOI

10.5603/AA.2018.0004

Bibliographic record

Acta Angiologica 2018;24(1):18-24.

Keywords

aorto-renal bifurcation stenting
computed tomography
juvenile takayasu arteritis
percutaneous endovascular therapy
secondary hypertension

Authors

Amro Alsharabi
Tomasz Jakimowicz
Piotr Hammer
Sławomir Nazarewski

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