Asymptomatic renal infarction, due to fibromuscular dysplasia, in a young woman with 11 years of follow-up.
We report a 27-year-old woman with renovascular hypertension, renal infarction, and hepatic artery aneurysm due to fibromuscular dysplasia. The patient was first noted to have renal artery aneurysm and hepatic artery aneurysm at the age of 17. The renal infarction was asymptomatic and was incidentally detected by magnetic resonance imaging (MRI) examination. Because of the rather peripheral location of the aneurysms, percutaneous transluminal renal artery angioplasty was considered inappropriate. This case suggests the need for long-term and periodical follow-up of patients with fibromuscular dysplasia.
Division of Hypertension and Nephrology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
Shinichiro
S
Niizuma
Hajime
H
Nakahama
Takashi
T
Inenaga
Fumiki
F
Yoshihara
Satoko
S
Nakamura
Masayoshi
M
Yoshii
Kei
K
Kamide
Takeshi
T
Horio
Yuhei
Y
Kawano
D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000473:pathology; D000792:Angiography; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000473:pathology; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology / Q000473:pathology*; D007238:Infarction / Q000209:etiology / Q000473:pathology*; D007668:Kidney / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D013997:Time Factors