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

Bonvini, Robert ; Rastan, Aljoscha ; Sixt, Sebastian ; Righini, Marc ; Hofstetter, Roland ; Zeller, Thomas

In: Heart and Vessels, 2009, vol. 24, no. 6, p. 460-462

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    Titre
    • Diffuse fibromuscular dysplasia successfully treated with scoring balloon angioplasty in a 3-year-old boy
    Auteur
    • Bonvini, Robert. Angiology Division, Heart-Center Bad Krozingen, Südring 15, 79189, Bad Krozingen, Germany
    • Rastan, Aljoscha. Angiology Division, Heart-Center Bad Krozingen, Südring 15, 79189, Bad Krozingen, Germany
    • Sixt, Sebastian. Angiology Division, Heart-Center Bad Krozingen, Südring 15, 79189, Bad Krozingen, Germany
    • Righini, Marc. Angiology and Hemostasis Division, University Hospital, Geneva, Switzerland
    • Hofstetter, Roland. Pediatric Cardiology Division, University Hospital, Frankfurt a.M., Germany
    • Zeller, Thomas. Angiology Division, Heart-Center Bad Krozingen, Südring 15, 79189, Bad Krozingen, Germany
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:319308
    Summary
    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 3½-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