Isolated renal artery dissection secondary to medial degeneration.
Renal artery aneurysms can have variable presentations, often resulting in a therapeutic dilemma to the clinician. We review the causes, clinical features, pathological conditions and treatment options for this problem. We report a case of a thrombus in 1 of 2 left renal arteries, which resulted in uncontrollable hypertension. At nephrectomy the angiographically normal vessel had medial degeneration, demonstrating the diffuse nature of this disease. Conservative renal-sparing management should be considered whenever possible.
Goldfarb
R
R
Department of Urology, Baylor College of Medicine, Houston, Texas.
Pool
J L
JL
Wheeler
T
T
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed