Severe Hypertension Due to Congenital Stenosis of Artery to Solitary Kidney

Abstract

The following case of a child with severe hypertension due to stricture of the main artery to a solitary kidney is believed to be unique in that the hypertension was promptly relieved by end-to-side anastomosis of the splenic artery to the renal artery distal to the stricture and has remained continuously normal for the period of 14 months since operation. Report of a Case A white girl aged 10 years was admitted to the Ochsner Foundation Hospital on Nov. 20, 1955, because of headaches, dizziness, and epistaxis, associated with high blood pressure of two months' duration, which had been incompletely controlled by medical treatment. The initial blood pressure was 280 mm. Hg systolic and 180 mm. Hg diastolic. She had had no significant previous illness. A younger sister had been "blue" during the first two years of her life, but thereafter her color had been normal. Routine examination of the