Atypical variant of fibromuscular dysplasia presenting with renal artery dissection and renal infarction

2021 ◽  
Vol 51 (7) ◽  
pp. 1193-1194
Author(s):  
Genevieve Aisthorpe ◽  
Fariborz Hosseini ◽  
Ryan Schrale ◽  
Alok Gupta
Keyword(s):  
Renal Artery ◽  
Fibromuscular Dysplasia ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Atypical Variant

scholarly journals Renal Outcome and New-Onset Renal and Extrarenal Dissections in Patients With Nontrauma Renal Artery Dissection Associated With Renal Infarction

Hypertension ◽  
2021 ◽  
Author(s):  
Anne-Laure Faucon ◽  
Guillaume Bobrie ◽  
Arshid Azarine ◽  
Elie Mousseaux ◽  
Tristan Mirault ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Glomerular Filtration Rate ◽  
Renal Artery ◽  
Filtration Rate ◽  
Fibromuscular Dysplasia ◽  
Estimated Glomerular Filtration Rate ◽  
Arterial Disease ◽  
Artery Dissection ◽  
Renal Infarction ◽  
New Onset

We aimed to compare the characteristics of the patients with renal infarction related to nontrauma renal artery dissection (RAD) with versus without an underlying vascular disease and report long-term renal and vascular outcomes, as well as new-onset renal and extra-RADs. Data from 72 consecutive patients with RAD referred to our Hypertension Unit between 2000 and 2015 were analyzed. Radiological data, including a systematic brain-to-pelvis computed tomography angiography, were independently reviewed. Three main causes of RAD were identified at the initial work-up: fibromuscular dysplasia (n=16); dissecting or aneurysmal multisite arterial disease (n=21) not linked to any known vascular disease; and isolated RAD (n=24) without any other arterial lesion. At diagnosis, patients (median age 46 [interquartile range, 40–53] years, 70.5% males, 26.2% preexisting hypertension, 65.6% smokers) had a median blood pressure of 138 (125–152)/87 (78–97) mm Hg. Estimated glomerular filtration rate was 81 (66–95) mL/min per 1.73 m 2 and 18% had renal impairment. Patients were treated with antiplatelet drugs (65.6%), anticoagulant (3.3%). A total of 11.5% underwent angioplasty. No clinical or biological difference was observed between the 3 groups. After 51 (19–92) months follow-up, blood pressure was reduced by 13 (0–29)/9 (3–18) mm Hg; 11.5% of patients had estimated glomerular filtration rate <60 mL/min per 1.73 m 2 . RAD evolved toward healing (67.2%), aneurysmal dilation (24.6%), or stenosis (8.2%). New-onset RAD was as frequent in dissecting or aneurysmal multisite arterial disease (23.8%) than in fibromuscular dysplasia (25%) group, whereas de novo extrarenal dissection was 6-fold more frequent in dissecting or aneurysmal multisite arterial disease (38.1%) than in fibromuscular dysplasia (6.3%) group. No new event occurred in patients with an initial diagnosis of isolated RAD. Initial diagnostic accuracy using thorough systematic exhaustive explorations of arterial sites helps to stratify the risk of new-onset dissection and adapt monitoring accordingly.

Spontaneous renal artery dissection: an elusive diagnosis

2021 ◽  
Vol 14 (9) ◽  
pp. e245949
Author(s):  
Catherine Mary Henry ◽  
Peter MacEneaney ◽  
Gemma Browne
Keyword(s):  
Renal Artery ◽  
Antihypertensive Treatment ◽  
Rare Condition ◽  
Acute Onset ◽  
Flank Pain ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Ct Angiogram ◽  
Systemic Anticoagulation ◽  
The Right

Spontaneous renal artery dissection is a rare condition with an often non-specific presentation, resulting in a challenging diagnosis for clinicians. This is the case of a 39-year-old man who presented with an acute-onset right flank pain, mild neutrophilia and sterile urine. CT of abdomen and pelvis showed a patchy hypodense area in the right kidney originally thought to represent infection. He was treated as an atypical pyelonephritis with antibiotics and fluids. When his symptoms failed to improve, a diagnosis of renal infarction was considered and CT angiogram of the aorta revealed a spontaneous renal artery dissection. He was managed conservatively with systemic anticoagulation, antihypertensive treatment and analgesia and discharged home with resolution of his symptoms and normal renal function.

scholarly journals Spontaneous Renal Artery Dissection as a Cause of Acute Renal Infarction: Clinical and MDCT Findings

2017 ◽  
Vol 32 (4) ◽  
pp. 605 ◽  
Author(s):  
Kibo Yoon ◽  
Soon-Young Song ◽  
Chang Hwa Lee ◽  
Byung-Hee Ko ◽  
Seunghun Lee ◽  
...  
Keyword(s):  
Renal Artery ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Acute Renal Infarction

Renal Artery Dissection Causing Renal Infarction in Otherwise Healthy Men

1998 ◽  
Vol 160 (3 Part 1) ◽  
pp. 953-954
Author(s):  
A. Alamir ◽  
D.F. Middendorf ◽  
P. Baker ◽  
N.S. Nahman ◽  
A.B. Fontaine ◽  
...  
Keyword(s):  
Renal Artery ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Healthy Men

scholarly journals Renal infarction resulting from traumatic renal artery dissection

2008 ◽  
Vol 23 (2) ◽  
pp. 103-105 ◽  
Author(s):  
Kyung Pyo Kang ◽  
Sik Lee ◽  
Won Kim ◽  
Gong Yong Jin ◽  
Ki Ryang Na ◽  
...  
Keyword(s):  
Renal Artery ◽  
Artery Dissection ◽  
Renal Infarction

scholarly journals Isolated Spontaneous Renal Artery Dissection Presented with Flank Pain

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Shruti P. Gandhi ◽  
Kajal Patel ◽  
Bipin C. Pal
Keyword(s):  
Computed Tomography ◽  
Renal Artery ◽  
Ct Angiography ◽  
Final Diagnosis ◽  
Flank Pain ◽  
Vascular Pathology ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Doppler Study ◽  
Main Renal Artery

Spontaneous renal artery dissection is a rare but important cause of flank pain. We report a case of isolated spontaneous renal artery dissection in 56-year-old man complicated by renal infarction presented with flank pain. Doppler study pointed towards vascular pathology. Computed tomography (CT) angiography was used to make final diagnosis which demonstrated intimal flap in main renal artery with renal infarction.

Renal artery dissection causing renal infarction in otherwise healthy men

1997 ◽  
Vol 30 (6) ◽  
pp. 851-855 ◽  
Author(s):  
Amir Alamir ◽  
Donald F. Middendorf ◽  
Peter Baker ◽  
N.S. Nahman ◽  
Arthur B. Fontaine ◽  
...  
Keyword(s):  
Renal Artery ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Healthy Men

Renal Artery Dissection Causing Renal Infarction in Otherwise Healthy Men

1998 ◽  
pp. 953-954
Author(s):  
A. Alamir ◽  
D. F. Middendorf ◽  
P. Baker ◽  
N. S. Nahman ◽  
A. B. Fontaine ◽  
...  
Keyword(s):  
Renal Artery ◽  
Artery Dissection ◽  
Renal Infarction ◽  
Healthy Men
Sign in / Sign up

Export Citation Format

Share Document