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

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.

journal_name

Heart Vessels

journal_title

Heart and vessels

authors

Bonvini RF,Rastan A,Sixt S,Righini M,Hofstetter R,Zeller T

doi

10.1007/s00380-009-1147-0

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

460-2

issue

6

eissn

0910-8327

issn

1615-2573

journal_volume

24

pub_type

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