Abstract
A 1-year and 5-month-old boy of renovasucular hypertension was treated with reconstruction of the renal artery. Arteriography revealed the right renal artery stenosis with post stenotic dilatation and complete obstruction of the left renal artery. It was difficult to control the hypertension, so we decided the operation. The stenotic portion of the right renal artery was resected and it was reanastmosed to the aorta by intermittent sutures with 6-0 prolene. The left nephrectomy was added. After operation, the blood pressure was easily controlled with captopril only and symptomes disappeared. Renovasucular hypertension is curable with surgical procedure. Children who are suffering from renovasucular hypertension should be treated with surgical procedure, including percutaneous transluminal angioplasty.