Thoracic aortic dissection in a patient with autosomal dominant polycystic kidney disease treated with maintenance hemodialysis.
A patient with autosomal dominant polycystic kidney disease (ADPKD) on maintenance hemodialysis (HD) experienced spreading back pain with a sudden onset, and was diagnosed with thoracic aortic dissection. Reports of ADPKD with aortic dissection are rare. Hypertension, which is essentially universal both among ADPKD and hemodialysis patients, is a known risk factor for aortic dissection. Additionally, some reports have indicated that patients with ADPKD have aortic fragility. We suspect that aortic dissection may be less rare than presently apparent among HD patients with ADPKD.
Osawa
Y
Y
Department of Medicine (II), Niigata University School of Medicine, Japan. osw13@medws1.med.niigata-u.ac.jp
Omori
S
S
Nagai
M
M
Obayashi
H
H
Maruyama
H
H
Gejyo
F
F
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D009529:Nicardipine / Q000627:therapeutic use; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications* / Q000628:therapy*; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed
D000959:Antihypertensive Agents; D009529:Nicardipine