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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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Case reports  

International Angiology 2009 December;28(6):503-6

lingua: Inglese

Surgical treatment of a patient with progressive thrombosis of the renal artery associated with neurofibromatosis

Kimura H. 1, Sato O. 1, Deguchi J.-O. 2, Mijata T. 1

1 Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan;
2 Division of Vascular Surgery, Department of Surgery, Saitama Medical Center, Saitama, Japan


Pediatric renovascular hypertension (RVH) associated with neurofibromatosis 1 (NF1) is a rare entity that is often resistant to endovascular treatment. A 12-year-old girl with NF1 and hypertension presented with severe stenosis of the right main renal artery and its posterior segment, the latter of which thrombosed spontaneously, and total occlusion of the celiac artery with rare branching of the accessory middle colic artery. She underwent successful reconstruction of the anterior segment of the right renal artery, and has been free of medication for ten years. A review of the recent literature suggests that renal artery bypass remains the best treatment in pediatric RVH with NF1.

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