38 A Rare Case of Renal Infarct due to Renal Artery Dissection Secondary to Fibromuscular Dysplasia

2019 ◽  
Vol 73 (5) ◽  
pp. 651-652
Keyword(s):  
Renal Artery ◽  
Rare Case ◽  
Fibromuscular Dysplasia ◽  
Artery Dissection ◽  
Renal Infarct

scholarly journals Spontaneous Renal Artery Dissection in a Man with Previous Spontaneous Superior Mesenteric Artery Dissection

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Yujiro Yokoyama ◽  
Masato Nakajima
Keyword(s):  
Renal Artery ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Rare Case ◽  
Visceral Artery ◽  
Artery Dissection ◽  
History Of ◽  
Natural Histories ◽  
Superior Mesenteric Artery Dissection ◽  
Device Technology

Both spontaneous superior mesenteric artery dissection (SMAD) and spontaneous renal artery dissection (SRAD) are very rare conditions. Their etiologies and natural histories are not precisely defined, but they are thought to be associated with underlying conditions. In this report, we describe an extremely rare case of SRAD in a man who had a history of spontaneous SMAD. We successfully treated SRAD with endovascular intervention. Isolated spontaneous SMAD and SRAD are both rare conditions. Their optimal treatment has not been established due to their rare entities, but endovascular treatment is a good option because it can prevent both advancement of infarction and renovascular hypertension, and it has become safer as device technology has improved. Patients with isolated visceral artery dissection should be carefully followed up.

Abstract 14194: Triple Vessel Spontaneous Coronary Artery Dissection With Coronary Artery Fibromuscular Dysplasia

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Franz Schweis ◽  
Ara Rostomian ◽  
Derek Phan ◽  
Mingsum Lee ◽  
Anne Ichiuji ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Renal Artery ◽  
Fibromuscular Dysplasia ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Management Approach ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Angiogram ◽  
Coronary Artery Dissection

Introduction: Spontaneous coronary artery dissection (SCAD) is a rare albeit well-established etiology of myocardial infarction and most commonly involves a single coronary vessel. We present a unique case of a patient presenting with chest pain and found to have triple vessel SCAD with associated findings suggestive of coronary artery fibromuscular dysplasia (FMD). Case Presentation: A 53 year-old woman with a past medical history of hypertension and chronic headaches presented with intermittent exertional substernal chest pain for two days. Labs were significant for an elevated Troponin-I of 0.12 ng/mL (normal < 0.04 ng/mL). Coronary angiogram revealed tortuous vessels with evidence of SCAD in multiple coronary arteries including the left anterior descending artery (LAD), posterior descending artery (PDA), and posterior left ventricular artery (PLV) (Figure A, B). Intracoronary nitroglycerin was administered during the procedure to ensure the findings were not due to coronary vasospasm. Due to the known association of SCAD and FMD, a renal angiogram was performed, which demonstrated a “beading” appearance of the right renal artery consistent with renal artery FMD. She was conservatively managed with medical therapy.A head computed tomography angiogram (CTA) was performed, which showed evidence of FMD of the bilateral vertebral arteries. A repeat coronary angiogram was performed six weeks after discharge. She was found to have complete resolution of SCAD in the LAD and PLV (Figure C, D). Interestingly, the PDA displayed a “string of beads” appearance concerning for intracoronary artery FMD (Figure D). Conclusion: Our case demonstrates evidence that coronary artery FMD may contribute to the underlying etiology of the coronary artery dissection. A conservative management approach resulted in a favorable outcome and the patient was able to avoid unnecessary intervention and potential related complications.

scholarly journals Intimal Fibromuscular Dysplasia of Renal Artery: A Rare Case of Hypertension

2015 ◽  
Vol 1 (1) ◽  
pp. 57-61
Author(s):  
Byomakesh Dikshit ◽  
Amit A Bharadiya ◽  
Pratap C Rath ◽  
Sunder Chidambaram ◽  
M Somasekhar
Keyword(s):  
Renal Artery ◽  
Rare Case ◽  
Fibromuscular Dysplasia

scholarly journals A Rare Case of Isolated and Idiopathic Spontaneous Renal Artery Dissection in a Female Patient on Multiple Medications

Cureus ◽  
2019 ◽  
Author(s):  
Manjari R Regmi ◽  
Sarah-Grace Carbrey ◽  
Priyanka Parajuli ◽  
Odalys Estefania Lara Garcia ◽  
Mukul Bhattarai
Keyword(s):  
Renal Artery ◽  
Female Patient ◽  
Rare Case ◽  
Artery Dissection

Renal Artery Dissection in a Young Woman: Diagnoses Beyond Fibromuscular Dysplasia

Nephron ◽  
2019 ◽  
Vol 143 (2) ◽  
pp. 128-132 ◽  
Author(s):  
M. Sanchez-Baya ◽  
A. Ramos Galí ◽  
A. Barros-Membrilla ◽  
R. Guerrero ◽  
J. Villalba ◽  
...  
Keyword(s):  
Renal Artery ◽  
Young Woman ◽  
Fibromuscular Dysplasia ◽  
Artery Dissection

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

Fibromuscular Dysplasia

2015 ◽  
Author(s):  
Lee Joseph ◽  
Esther S.H. Kim
Keyword(s):  
Renal Artery ◽  
Fibromuscular Dysplasia ◽  
Heart Association ◽  
Mesenteric Arteries ◽  
Radiographic Evaluation ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Radiographic Appearance ◽  
Management Algorithm ◽  
Radiographic Classification

Fibromuscular dysplasia (FMD) is an idiopathic, segmental, nonatheromatous, and noninflammatory disease of the arterial walls, leading to stenosis, occlusion, aneurysm, dissection, and/or tortuosity of medium-sized arteries. Diagnosis is primarily radiographic with well-described histopathologic correlates. Though FMD commonly affects renal and cervical cerebrovascular arteries, FMD involving arteries of the upper and lower extremities, mesenteric arteries, and coronary arteries has also been described. This review covers epidemiology, etiology, and risk factors; histopathologic and radiographic classification; clinical presentation; differential diagnosis; radiographic evaluation; and treatment, including medical therapy, revascularization, and counseling. Tables outline the histologic and radiographic classification schemes for FMD and indications for renal artery and cerebrovascular revascularization in FMD based on the American Heart Association scientific statement. Figures show the radiographic appearance of FMD, coronary artery dissection, duplex ultrasonography of the renal artery, classic “string-of-beads” appearance, internal carotid artery, renal artery stent, and a small aneurysm. A management algorithm is provided. This review contains 7 figures, 4 tables, and 90 references.

scholarly journals 148 Acute Renal Infarcts from Spontaneous Intra-Renal Dissection

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
K Daga ◽  
B Chua ◽  
M Taneja
Keyword(s):  
Renal Artery ◽  
Fibromuscular Dysplasia ◽  
Visceral Artery ◽  
Artery Dissection ◽  
Endovascular Stents ◽  
Anti Platelet Therapy ◽  
Ct Angiogram ◽  
Procedural Complications ◽  
Male Patients

Abstract Spontaneous renal artery dissection and acute renal infarcts are rare occurrences and often misdiagnosed in clinical practice. We present four male patients, between 30-50 years of age, who have no underlying cardiac conditions, hypertension, or diabetes mellitus. They presented with abdominal/loin/flank pain due to spontaneous renal artery dissection and were all treated with endovascular stenting. Two patients had renal artery fibromuscular dysplasia, confirmed by CT angiogram, a rare pathology which is reported in literature to mostly affect women. All four patients recovered fully from the operation, with no post-operative complications noted. These patients were post-operatively managed medically with anti-platelet therapy for two years and did not experience any post-procedural complications at their 24-month follow up. Classically visceral artery dissection can be managed by anti-platelet therapy alone, however fibromuscular dysplasia can cause spontaneous dissection with renal infarcts and this requires urgent treatment with endovascular stents. Further research is needed on the post-procedural medical management guidelines.

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