Stenosing renal artery disease in children: Clinicopathologic correlation in 20 surgically treated cases

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Abstract
Since 1955, 20 children, 12 girls and 8 boys 1-18 yr old, were surgically treated for stenosing renal artery disease. Of the children, 13 were asymptomatic, but were noted to be hypertensive during the course of routine physical examination. Preoperative diastolic blood pressures ranged between 95 and 140 mm Hg. Of the 20 children, 8 had bilateral stenosing renal artery disease and 3 associated extrarenal artery disease. Two other children had bruits over the femoral and carotid arteries, although confirmation of stenosing artery disease by arteriography was not obtained. One girl had clinical von Recklinghausen''s neurofibromatosis. Renal artery stenosis due to atherosclerosis, posttraumatic thrombosis, embolus or extrinsic compression of the renal artery was excluded from this study. Children who had nephrectomy without removal of the stenotic arterial segment were excluded. Therapy included either revascularization or nephrectomy.

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