Diffuse fibromuscular dysplasia successfully treated with scoring balloon angioplasty in a 3-year-old boy.

Heart and Vessels
Robert F BonviniThomas Zeller

Abstract

In children, up to 10% of the cases of arterial hypertension may be caused by a renovascular disease. The etiology of this renovascular disease is most of the time due to a fibromuscular dysplasia (FMD), which causes a noninflammatory intimal-medial fibroplasia leading to luminal compromise. Percutaneous transluminal angioplasty of FMD is a worldwide-accepted treatment modality for this serious arterial disease with, so far, good safety and long-term efficacy data. Once FMD involves several arterial compartments leading to symptoms the outcomes are poor. Herein we report the case of a 3(1/2)-year-old boy with severe arterial hypertension and abdominal angina due to a diffuse multivisceral FMD involvement, successfully managed by a percutaneous angioplasty approach using a new balloon catheter for plaque modulation.

References

Oct 1, 1968·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·O W KincaidJ C Hunt
Dec 1, 1980·The Journal of Pediatrics·T A McCookS G Osofsky
Dec 9, 1996·Archives of Internal Medicine·J B StokesJ W McBride
Mar 28, 1998·Pediatric Radiology·J V CourtelF Brunelle
Apr 30, 2004·The New England Journal of Medicine·David P Slovut, Jeffrey W Olin
Jul 5, 2006·Pediatrics·Rukshana ShroffKjell Tullus
May 15, 2007·Journal of Vascular and Interventional Radiology : JVIR·Richard B TowbinDerek J Roebuck
May 31, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Aysun K BayazitAlper Soylu
Nov 30, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Dierk ScheinertGary Gershony

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