Bifurcated abdominal aorta, with a coarctation over the right branch of the bifurcated abdominal aorta and aberrant renal arteries originating from the left branch of the bifurcated abdominal aorta.
This study describes an unusual case of secondary hypertension in a young female patient presenting with severe hypertension and abdominal bruits. Gadolinium-enhanced MRA revealed a clearly bifurcated abdominal aorta, with a coarctation over the right branch of the bifurcated abdominal aorta and aberrant renal arteries originated from the left branch of the bifurcated abdominal aorta. Of interest is conventional angiography had failed to reveal these vascular abnormalities. This study mentions both embryologic and clinical aspects of this developmentally abnormal bifurcated abdominal aorta, coarctation of abdominal aorta and aberrant renal arteries.
Yen
Tzung-Hai
TH
Department of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Chang
Chiz-Tzung
CT
Huang
Chiu-Ching
CC
Ng
Koon-Kwan
KK
Tsai
Shun-Yu
SY
D000328:Adult; D001012:Aorta, Abdominal / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001017:Aortic Coarctation / Q000150:complications* / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D002828:Choristoma / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006973:Hypertension / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012077:Renal Artery