title: Renal artery revascularization by using the Riolan anastomosis as feeding vessel in a patient with abdominal aortic coarctation due to fibromuscular dysplasia.
abstract: Fibromuscular dysplasia is a non-inflammatory, non-atherosclerotic vascular disease, occurring predominantly in younger females. A histologically heterogeneous group of fibroplasia without an inflammatory component causes arterial narrowing. It affects mostly one or both renal arteries, cervicocranial or visceral arteries, leading to hypertension, renal failure/renal infarction or stroke/transient ischaemic attack. We present the case of a young female patient with abdominal aortic coarctation, history of acute renal failure, and critical hypertension due to pseudo-occlusion of both renal arteries. We performed renal artery revascularization specifically by using the Riolan anastomosis as feeding vessel.
authors.affiliation: 1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany.
authors.forename: Christina
authors.initials: C
authors.lastname: Salmoukas
authors.affiliation: 1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Ruemke
authors.affiliation: 2 Department for Pathology, Hannover Medical School, Hannover, Germany.
authors.forename: Jan Hinrich
authors.initials: JH
authors.lastname: Bräsen
authors.affiliation: 1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany.
authors.forename: Axel
authors.initials: A
authors.lastname: Haverich
authors.affiliation: 1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany.|3 Department of Vascular Surgery, Klinikum Peine, Germany.
authors.forename: Omke Enno
authors.initials: OE
authors.lastname: Teebken
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000714:Anastomosis, Surgical; D015901:Angiography, Digital Subtraction; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001706:Biopsy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D000072226:Computed Tomography Angiography; D003251:Constriction, Pathologic; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D011093:Polyethylene Terephthalates
keywords: Fibromuscular dysplasia; Riolan anastomosis; aortic coarctation; arterial hypertension; renal artery stenosis; visceral artery stenosis