Flashcards in Chap 150 Renovascular Anomalies Deck (10):
what is middle aortic syndrome?
abdo aortic coarctation and hypoplasia
Where is MAS most often located
suprarenal then infra
What are associated disorders with MAS?
Neurofibromatosis-1, (25% of abdo ao coarc have NF-1
Williams syndrom, alagille syndomr
Takayasu (more likely arch or DTA
Umbilical artery catheterization
What vessels have associated stenosis?
what are symptoms of MAS?
Lower extremity fatigue is infrequent
Intestinal angina 6%
Food aversion, weight loss
HA, seizure, epistaxis, visual disturances, AKI, bell’s palsy
Hemorrhagic stroke, HTN encephalopathy, FTT
Flash pulmonary edema
What is surgical management of MAS?
reimplant of visceral vessels
What size graft to use for bypass at different ages?
12-16 early ADOLESCENTS
14-20 late adolescents and adults
When does axial growth stop?
How and when do you repair renal artery in children?
after age 3
(SV has aneurysmal degen)