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Case Report
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| Treatment of renal fibromuscular dysplasia in an adolescent male: A case report | ||||||
| Dennis M. Fry1, Ojas A. Pradhan2 | ||||||
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1MD, Vascular Surgeon, Iowa Clinic Cardiovascular Services, Unity Point Clinic, West Des Moines, Iowa, USA.
2Final Year Student, Valley High School, West Des Moines, Iowa, USA. | ||||||
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| How to cite this article |
| Fry DM, Pradhan OA. Treatment of renal fibromuscular dysplasia in an adolescent male: A case report. Int J Case Rep Images 2015;6(5):317–320. |
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Abstract
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Introduction:
Fibromuscular dysplasia (FMD) is a rare vascular disease that causes stenosis in the major arteries such as the renal and carotid arteries. The exact prevalence of FMD in the general population is not known. It is often presented with symptoms of hypertension. Mainly reported in middle-aged females, the diagnosis of FMD is often delayed. There are very few case reports of FMD in males and children in literature.
Case Report: We report the case of a 13-year-old asymptomatic boy found to have FMD in the right renal artery (RRA). An angiography revealed high grade stenosis that was corrected by surgery. A hepatorenal bypass using anastomosis of the gastroduodenal artery (GDA) to RRA was deemed appropriate. An angioplasty at the anastomosis six weeks after this procedure corrected an upward trend in postsurgical blood pressure readings and RRA blood velocities. Two years after the surgery, the patient has well-controlled blood pressure, managed with low dose of ACE-inhibitors. Conclusion: Hepatorenal bypass of RRA through anastomosis of GDA was a viable surgical option in this case. The monitoring of blood pressure readings allowed for early detection and correction of any post-surgical stenosis. | |
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Keywords:
Hepatorenal bypass of RRA through anastomosis of GDA was a viable surgical option in this case. The monitoring of blood pressure readings allowed for early detection and correction of any post-surgical stenosis
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Author Contributions
Dennis M. Fry – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Ojas A. Pradhan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Dennis M. Fry et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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