Operative balloon dilatation of fibromuscular dysplasia of the internal carotid artery: two case reports.
Two cases of symptomatic fibromuscular dysplasia of the internal carotid artery treated with intraoperative balloon-dilatation and semi-rigid metal dilators are presented. Fibromuscular dysplasia (FMD) is a segmental, non atheromatous disease of small and medium sized arteries. Mainly the renal arteries are affected. Involvement of the internal carotid artery is more frequently, than generally appreciated, associated with definite cerebrovascular symptomatology. Symptomatic FMD of the internal carotid artery requires surgical treatment. Histological findings, pathogenesis, clinical manifestations, diagnosis and therapeutic modalities are discussed.
De Smul
G
G
Department of Vascular and Thoracic Surgery, Ziekenhuis Sint-Maarten, Kortrijk, Belgium.
Bostoen
H
H
D000368:Aged; D015901:Angiography, Digital Subtraction; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002404:Catheterization; D005260:Female; D005352:Fibromuscular Dysplasia / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged