Three-dimensional reconstruction of a rotational abdominal aortogram showing a renal artery aneurysm.
This is a case of a 65-year-old woman with a history of coronary artery disease, who presented with hypertension that was poorly controlled by medical treatment. A rotational abdominal aortogram was done, followed by selective right and left renal artery angiograms. Imaging of renal artery aneurysms can be tricky, and some aneurysms might be misdiagnosed for a tortuous renal artery. In such cases, the physician needs to maintain a high index of suspicion towards this condition. Three-dimensional reconstruction allows for a better visualization of the aneurysm and its surrounding structures. It also guides the operator to the projection that best reveals the anatomical criteria of the aneurysm.
Awadalla
Hany M
HM
Department of Cardiology, Ain Shams University Medical School, Cairo, Egypt.
Salloum
Joseph G
JG
Anderson
H Vernon
HV
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D001027:Aortography / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology