Estenosis de la arteria renal unilateral de diagnóstico neonatal

Abstract

Renal artery stenosis represents a rare cause of neonatal arterial hypertension of renovascular origin, having been described few cases in the literature at this stage of life. Most patients with this disease remain asymptomatic; hypertension can be detected in routine pediatric revisions. Diagnosis can be performed by combining biochemical and radiological findings. The initial management consists of pharmacological therapy in order to achieve adequate growth. Subsequently, it is necessary to assess definitive repair of the vascular lesion or nephrectomy in the case of functional abolition of the affected kidney. We present a term newborn female, with arterial hypertension and an important congestive heart failure, caused by a unilateral renal artery stenosis, with functional abolition and atrophy of the affected kidney, which required an important inotropic and antihypertensive support during her first days of life, with significant clinical improvement subsequently.

Renal Artery Stenosis, Diagnosis and Management: a Literature Review

“…Но для корректного подтверждения ВРГ и выставления показаний к оперативному лечению этого может быть недостаточно. Необходимо проведение дополнительных инструментальных методов диагностики [26].…”