Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia

A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as...

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Bibliographic Details
Published in:Internal Medicine 2018/10/01, Vol.57(19), pp.2885-2887
Main Authors: Sakamoto, Yuki, Hiruta, Ryo, Iijima, Ayako, Sakuma, Yuya, Konno, Yutaka
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Angiography
Arteries
Case Report
Computed tomography
Dissection
Dysplasia
fibromuscular dysplasia
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnosis
Hemodynamics
Humans
Internal medicine
ischemic stroke
Magnetic Resonance Imaging
Male
Mesenteric Artery, Superior
Middle Aged
multiple vascular beds
Pain
superior mesenteric artery
Tomography, X-Ray Computed
Veins & arteries
Vertebrae
Vertebral Artery Dissection - diagnosis
Vertebral Artery Dissection - etiology
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Summary:A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as having fibromuscular dysplasia (FMD) based on conventional angiography. Although multiple vascular bed involvement is observed in approximately 40% of FMD patients, reports of sequential symptomatic dissections in various vascular beds are rare. Patients with FMD and dissection require close observation, and hemodynamic stabilization may prevent not only the further development of dissection, but also subsequent dissection of other arteries.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0704-17