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  • Title: Diffuse fibromuscular dysplasia successfully treated with scoring balloon angioplasty in a 3-year-old boy.
    Author: Bonvini RF, Rastan A, Sixt S, Righini M, Hofstetter R, Zeller T.
    Journal: Heart Vessels; 2009 Nov; 24(6):460-2. PubMed ID: 20108080.
    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.
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