Pediatric Renovascular Hypertension: Manifestations and Management

Renovascular hypertension (RVHTN) is an important contributor to secondary etiologies of hypertension in the pediatric population. Adelay in diagnosis can be associated with adverse outcomes. Theetiologies of renal artery stenosis (RAS) vary from anatomical, inflammatory, genetic syndromes, intra-luminal, external compression and idiopathic. Itis a silent disease with isolated hypertension as its primary clinical manifestation. Laboratoryvalues can be notable for electrolyts requires a high index of clinical suspicion and entails ruling out other secondary causes of hypertension while monitoring for target organ damage. Imagingof individuals with suspected RAS includes: renal ultrasound, computed tomography angiography, magnetic resonance angiography and renal scintigraphy, but angiography continues to be the gold standard. Variousfactor are used to determine the most appropriate method for ongoing care: anti-hypertensive therapy, with or without radiological or surgical intervention. Inall instances, a multi-disciplinary team approach should be used to provide optimal care to these children and adolescents.