Aorto-renal Bifurcation Stenting in a Juvenile Non-specific Aorto-Arteritis: case report
Autor: | Vikas Mishra, Narendra Khanna, Vinay Krishna, Santosh Kumar Sinha, Lawrence Rajan, Mahmadula Razi, Mohammad Asif, Mukesh Jitendra Jha, Ramesh Thakur |
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Rok vydání: | 2018 |
Předmět: |
Thorax
medicine.medical_specialty Aorta Percutaneous business.industry Secondary hypertension medicine.disease Stenosis Blood pressure medicine.anatomical_structure medicine.artery cardiovascular system medicine Abdomen cardiovascular diseases Radiology Arteritis Cardiology and Cardiovascular Medicine business |
Zdroj: | Acta Angiologica. 24:25-29 |
ISSN: | 1644-3276 1234-950X |
Popis: | 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. |
Databáze: | OpenAIRE |
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