Abdominal aortic coarctation and renal artery stenosis associated with neurofibromatosis is an unusual cause of renovascular hypertension in children and young adults. Sustained hypertension despite pharmacological treatment carries significant end-organ deterioration, failure to thrive, and potentially lethal complications. Timely arterial reconstruction can render these children normotensive, allowing normal development and reducing long-term morbidity. Progression of the arterial occlusive process, however, may occur after surgery. Therefore, careful follow-up is mandatory following aortorenal reconstruction in children with neurofibromatosis.
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Criado, E., Izquierdo, L., Luján, S. et al. Abdominal Aortic Coarctation, Renovascular, Hypertension, and Neurofibromatosis . Ann Vasc Surg 16, 363–367 (2002). https://doi.org/10.1007/s10016-001-0098-4
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DOI: https://doi.org/10.1007/s10016-001-0098-4