An 8-year-old boy was found to have hypertension and bilateral renal artery stenosis at 3 years of age. The blood pressure elevation was unresponsive to vigorous antihypertensive therapy. Surgical correction of the renal artery stenosis by renal autotransplantation was associated with the return of blood pressure to normal. Renal autotransplantation should be strongly considered in the therapy of renovascular hypertension when the only alternative would appear to be nephrectomy.
Bibliographical noteFunding Information:
Supported in part by grants/tom the National Institute o\[ General Medical Sciences \[or the Clinical Pharmacology Training Program (USPHS GM 01998), and the National Institutes of Health (HE 05662 and HL 06314).