Bilateral spontaneous renal artery dissection

Summary Spontaneous renal artery dissection is a rare condition that precedes renal infarction. We describe a 48-year-old, normotensive healthy woman presenting with left flank pain of sudden onset. Enhanced abdominal computed tomography demonstrated a dissecting intimal flap of the left renal arter...

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Bibliographic Details
Published in:Journal of cardiology cases 2011-10, Vol.4 (2), p.e101-e105
Main Authors: Araki, Tadashi, MD, Nakamura, Masato, MD, PhD, FJCC, Imamura, Takaaki, MD, Utsunomiya, Makoto, MD, Hori, Maki, MD, Ikeda, Nobutaka, MD, PhD, Itaya, Hideki, MD, Makino, Kunihiko, MD, PhD, Nemoto, Naohiko, MD, PhD, Iijima, Raisuke, MD, PhD, Hara, Hidehiko, MD, PhD, Takagi, Takuro, MD, Sugi, Kaoru, MD, PhD, FJCC
Format: Article
Language:English
Subjects:
Cardiovascular
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Summary:Summary Spontaneous renal artery dissection is a rare condition that precedes renal infarction. We describe a 48-year-old, normotensive healthy woman presenting with left flank pain of sudden onset. Enhanced abdominal computed tomography demonstrated a dissecting intimal flap of the left renal artery complicating renal infarction. Doppler ultrasonography, selective angiography, and intravascular ultrasound revealed a dissecting intimal flap, with a large false lumen and narrow true lumen, of the renal artery bilaterally. Conservative management was undertaken with anticoagulant and analgesic therapy, and the patient was discharged after an uneventful clinical course.
ISSN:1878-5409
1878-5409
DOI:10.1016/j.jccase.2011.06.002