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Severe Hypertension Due to Congenital Stenosis of Artery to Solitary Kidney: Correction by Splenorenal Arterial Anastomosis

Severe Hypertension Due to Congenital Stenosis of Artery to Solitary Kidney: Correction by... Abstract The following case of a child with severe hypertension due to stricture of the main artery to a solitary kidney is believed to be unique in that the hypertension was promptly relieved by end-to-side anastomosis of the splenic artery to the renal artery distal to the stricture and has remained continuously normal for the period of 14 months since operation. Report of a Case A white girl aged 10 years was admitted to the Ochsner Foundation Hospital on Nov. 20, 1955, because of headaches, dizziness, and epistaxis, associated with high blood pressure of two months' duration, which had been incompletely controlled by medical treatment. The initial blood pressure was 280 mm. Hg systolic and 180 mm. Hg diastolic. She had had no significant previous illness. A younger sister had been "blue" during the first two years of her life, but thereafter her color had been normal.Routine examination of the References 1. Freeman, N. E.; Leeds, F. H.; Elliott, W. G., and Roland, S. I.: Thromboendarterectomy for Hypertension Due to Renal Artery Occlusion , J. A. M. A. 156:1077-1079 ( (Nov. 13) ) 1954.Crossref 2. Poutasse, E. F., and Dustan, H.: Urologic Causes of Hypertension: I. Hypertension Due to Renal Artery Lesions , Cleveland Clin. Quart. 23:3-15 ( (Jan.) ) 1956.Crossref 3. Poutasse, E. F.; Humphries, A. W.; McCormack, L. J., and Corcoran, A. C.: Bilateral Stenosis of Renal Arteries and Hypertension: Treatment by Arterial Homografts , J. A. M. A. 161:419-423 ( (June 2) ) 1956.Crossref 4. Thompson, J. E., and Smithwick, R. H.: Human Hypertension Due to Unilateral Renal Disease, with Special Reference to Renal Artery Lesions , Angiology 3:493-505 ( (Dec.) ) 1952.Crossref 5. Hurwitt, E. S.; Seidenberg, B.; Haimovici, H., and Abelson, D. S.: The Splenorenal Arterial Anastomoses , Circulation 14:532-539 ( (Oct.) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Severe Hypertension Due to Congenital Stenosis of Artery to Solitary Kidney: Correction by Splenorenal Arterial Anastomosis

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280180155024
Publisher site
See Article on Publisher Site

Abstract

Abstract The following case of a child with severe hypertension due to stricture of the main artery to a solitary kidney is believed to be unique in that the hypertension was promptly relieved by end-to-side anastomosis of the splenic artery to the renal artery distal to the stricture and has remained continuously normal for the period of 14 months since operation. Report of a Case A white girl aged 10 years was admitted to the Ochsner Foundation Hospital on Nov. 20, 1955, because of headaches, dizziness, and epistaxis, associated with high blood pressure of two months' duration, which had been incompletely controlled by medical treatment. The initial blood pressure was 280 mm. Hg systolic and 180 mm. Hg diastolic. She had had no significant previous illness. A younger sister had been "blue" during the first two years of her life, but thereafter her color had been normal.Routine examination of the References 1. Freeman, N. E.; Leeds, F. H.; Elliott, W. G., and Roland, S. I.: Thromboendarterectomy for Hypertension Due to Renal Artery Occlusion , J. A. M. A. 156:1077-1079 ( (Nov. 13) ) 1954.Crossref 2. Poutasse, E. F., and Dustan, H.: Urologic Causes of Hypertension: I. Hypertension Due to Renal Artery Lesions , Cleveland Clin. Quart. 23:3-15 ( (Jan.) ) 1956.Crossref 3. Poutasse, E. F.; Humphries, A. W.; McCormack, L. J., and Corcoran, A. C.: Bilateral Stenosis of Renal Arteries and Hypertension: Treatment by Arterial Homografts , J. A. M. A. 161:419-423 ( (June 2) ) 1956.Crossref 4. Thompson, J. E., and Smithwick, R. H.: Human Hypertension Due to Unilateral Renal Disease, with Special Reference to Renal Artery Lesions , Angiology 3:493-505 ( (Dec.) ) 1952.Crossref 5. Hurwitt, E. S.; Seidenberg, B.; Haimovici, H., and Abelson, D. S.: The Splenorenal Arterial Anastomoses , Circulation 14:532-539 ( (Oct.) ) 1956.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1957

References