Anesthetic management of hypertensive crisis in a three-year-old patient with undiagnosed severe renal artery stenosis: a case report

Korean Journal of Anesthesiology 2014³â 67±Ç 4È£ p.275 ~ p.278

¹Ú»óÈñ(Park Sang-Hee) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine
ÀÌÀ±¼÷(Lee Yoon-Sook) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine
(Min Too-Jae) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine
±è¿î¿µ(Kim Woon-Young) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine
±èÀçȯ(Kim Jae-Hwan) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine
¹Ú¿µÃ¶(Park Young-Cheol) - Korea University Ansan Hospital Department of Anesthesiology and Pain Medicine

Abstract

Pediatric hypertensive crisis is a potentially life threatening medical emergency, usually secondary to an underlying disease. Hypertension commonly occurs during general anesthesia, and is usually promptly and appropriately treated by anesthesiologists. However in children with severe, unexplained, or refractory hypertension, it has the potential to cause morbidity and even mortality in susceptible patients. We report an anesthetic management of an unexpected hypertensive crisis that developed during general anesthesia in a three-year-old girl with undiagnosed severe left renal artery stenosis.

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Anesthesia, Child, Renovascular hypertension
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