You are here

Home » Content

İdiyopatik Spontan Renal Arter Diseksiyonu: Nadir bir Olgu

Idiopathic Spontaneous Renal Artery Dissection: A Rare Case

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2010
DOI: 
DOI 10.5262/tndt.2010.1003.10

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Spontaneous renal artery dissection is a rare and serious event that can result in renal parenchymal injury and severe hypertension. We report a case of a 38-year-old previously healthy man who presented with unilateral flank pain and had a renal artery dissection complicated with renal infarction. Initial laboratory tests and urinalysis were essentially normal. An abdominal CT scan showed isolated right main renal artery dissection with thrombus and infarction. The renal angiography demonstrated a 60- 70% stenosis causing dissection with thrombus in the right main renal artery. The patient was treated with renal artery stenting and anticoagulant therapy.
Bookmark/Search this post with
Abstract (Original Language): 
Spontan renal arter diseksiyonu renal parankimal hasar ve şiddetli hipertansiyona yol açabilen nadir fakat ciddi bir olaydır. Daha önceden sağlıklı olan ve tek taraflı böğür ağrısı ile başvuran bir erkekte renal infarkt ile komplike olan spontan renal arter diseksiyonu vakası sunulmaktadır. Başlangıç laboratuvar testleri ve idrar tetkiki normal olan hastanın batın bilgisayarlı tomografisinde trombus ve infarkt ile komplike sağ ana renal arter diseksiyonu olduğu görüldü. Renal anjiyografide sağ renal arterde %60-70 darlık ve trombus ile birlikte diseksiyon gösterildi. Renal artere stent kondu ve takiben antikoagülan tedavi verildi.
FULL TEXT (PDF): 
PDF icon arastrmx_172977_19_pp_206-208.pdf
  • 3
206-208
  • Turkish

REFERENCES

References: 

1. Alamir A, Middendorf DF, Baker P Nahman NS Jr, Fontaine AB,
Hebert LA: Renal artery dissection causing renal infarction in
otherwise healthy men. Am J Kidney Dis 1997; 30:851-855
2. Foord AG, Lewis RD: Primary dissecting aneurysms of peripheral
and pulmonary arteries: Dissection hemorrhage of media. Arch
Pathol 1959; 68:553-577
Figure 1: Dissection of right renal artery.
Figure 2: Digital subtraction angiography; stent in the right renal
artery.
Bayram Y et al: Spontaneous Renal Artery Dissection
Cilt/Vol: 19, No: 3, 2010, Sayfa/Page: 206-208 208
Türk N efroloji D iyaliz ve Transplantasyon D ergisi
Turkish Nephrology, Dialysis and Transplantation Journal
3. Lok SY, Chalvardijan A, Common AA: Primary renal artery
dissection. Can Assoc Radiol J 1995; 1:54-56
4. Ramamoorthy SL, Vasquez JC, Taft PM, McGinn RF, Hye RJ:
Nonoperative management of acute spontaneous renal artery
dissection. Annals of Vasc Surg 2002; 16:157-162
5. Alamir A, Middendorf DF, Baker P, Nahman NS Jr, Fontaine
AB, Hebert LA: Renal artery dissection causing renal infarction
otherwise healthy men. Am J Kidney Dis 1997; 30: 851–855
6. Lee SH, Lee HC, Oh SJ, Park MC, Park KJ, Moon YS, Min JW,
Hwang EJ, Baek JE, Jo ES, Jang GJ: Percutaneous intervention
of spontaneous renal artery dissection complicated with renal
infarction: A case report and literature review. Catheter Cardiovasc
Interv 2003; 60:335-338

Thank you for copying data from http://www.arastirmax.com