Renal artery compromise treated percutaneously in a patient with chronic aortic dissection: a case report.
Organ malperfusion most commonly occurs in the acute stage of aortic dissection and is associated with a high mortality, but can occur with chronic dissection. We describe a case of a type 3 aortic dissection, which had a stenosed left renal artery originating from the false lumen and causing resistant hypertension. The left renal artery was successfully dilated and stented, with prompt resolution of the patient's hypertension.
Awadalla
Hany M
HM
Department of Medicine, University of Texas Medical School and Hermann Hospital, Houston, Texas 77225, USA.
Salloum
Joseph G
JG
Smalling
Richard W
RW
D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization; D002908:Chronic Disease; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D015607:Stents