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A 7 year old boy had renovascular hypertension due to vascular neurofibromatosis that involved both renal arteries.
Aortography showed proximal stenoses of the renal arteries, with poststenotic dilatation.
Microscopy revealed a neurofibroma in the renal arterial wall, and reconstructive a vascular surgery was performed. This did not bring about the expected decrease in blood pressure however, and the patient still had a labile hypertension 5 months after surgery.
This is the 17th case of this condition reported. Surgery was performed in 15, with a resultant decrease in blood pressure in 13.
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