Hypertension of renovascular origin is potentially a surgically correctable condition. In children, the results of primary repair of the affected renal artery or bypass graft have been far less satisfying, Most attempts at revascularization have ended in thrombosis of the repaired vessel and subsequent nephrectomy. The high rate of failure of revascularization in children has been attributed to technical problems due to the small size of the involved vessels and the growth of the child. Autotransplantation is a safe and reasonable procedure in the management of childhood renovascular hypertension. We reported herein a twelve-year-old girl with stenosis of the left renal artery caused by aortitis syndrome who underwent such a procedure.
