title: Fibromuscular Dysplasia in a Normotensive Patient Presented With Renal Infarct: Case Report and Endovascular Technique.
abstract: Fibromuscular dysplasia (FMD) is a well-known disease, but its diagnosis can be challenging. Typically, the symptomatic FMD are reported by young and middle aged people with high blood pressure refractory to medical treatment. We present a rare case of a young, healthy, and normotensive patient who presented with pain secondary to renal infarction, without any prior signs or symptoms or history of hypertension. This presentation of FMD has not been previously described. The typical but subtle angiographic findings of the macro-aneurysmal FMD as well as the successful endovascular treatment are discussed herein. The macro-aneurysmal form of FMD should be considered in the differential diagnosis of acute renal infarction in young and middle aged patients even if they do not have a history of hypertension.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Nassir
authors.initials: N
authors.lastname: Rostambeigi
authors.affiliation: Department of Urology, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Goldfarb
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Minnesota, Minneapolis, MN, USA hunte001@umn.edu.
authors.forename: David W
authors.initials: DW
authors.lastname: Hunter
authors.affiliation: Department of Urology, University of Minnesota, Minneapolis, MN, USA.
authors.forename: James Kyle
authors.initials: JK
authors.lastname: Anderson
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D005352:Fibromuscular Dysplasia / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D011237:Predictive Value of Tests; D012077:Renal Artery / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: aneurysm; coil embolization; fibromuscular dysplasia; microthrombi; renal infarction