Bilateral Renal Artery Stenosis in a 7-Year-Old Child

We present a 7-year-old child with uncontrolled hypertension caused by bilateral renal artery stenosis. He underwent renal angioplasty on both sides. While the right side showed successful dilatation, the left side was unsuccessful, leaving a near total occlusion. Due to the lack of satisfactory control of his blood pressure, he was scheduled for an iliorenal bypass. Following surgery, all antihypertensive medications were withdrawn. Computed tomography angiography performed 18 months after surgery showed patent angioplasty on the right side and patent bypass on the left side. Both endovascular and open surgical treatments are feasible options with good results in this age group.