Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]

Peripheral artery (PAD) disease in association with renal artery stenosis is an important association which predicts the severity of the disease. An increase in the number of vessels affected by peripheral artery disease increases the chances of renal artery stenosis. In our case, the patient had pr...

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Main Authors: Gajendra Agrawal, Satish Khadse, Kashish Khurana, Benumadhab Ghosh, Sourya Acharya, Anuj Chaturvedi, Saket Toshniwal, Isha Sahai, Sunil Kumar
Format: Article
Language:English
Published: F1000 Research Ltd 2024-01-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/12-738/v3
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author Gajendra Agrawal
Satish Khadse
Kashish Khurana
Benumadhab Ghosh
Sourya Acharya
Anuj Chaturvedi
Saket Toshniwal
Isha Sahai
Sunil Kumar
author_facet Gajendra Agrawal
Satish Khadse
Kashish Khurana
Benumadhab Ghosh
Sourya Acharya
Anuj Chaturvedi
Saket Toshniwal
Isha Sahai
Sunil Kumar
author_sort Gajendra Agrawal
collection DOAJ
description Peripheral artery (PAD) disease in association with renal artery stenosis is an important association which predicts the severity of the disease. An increase in the number of vessels affected by peripheral artery disease increases the chances of renal artery stenosis. In our case, the patient had primarily presented with anginal chest pain with complaints of claudication which on further investigation was diagnosed to be a triple vessel coronary artery disease along with bilateral subclavian and bilateral renal stenosis. On detailed history taking, risk factors like hypertension and chronic smoking was found to be present in our case which predisposed to peripheral artery disease secondary to atherosclerosis which was diagnosed on further investigations. Although the association of renal artery stenosis is not very rare in cases of severe peripheral vascular diseases, the presence of a triple vessel coronary artery disease in synchrony is what makes it unique. Take away lesson from this case report is importance of early diagnosis of dyslipidemia causing atherosclerosis and its complications. Multiple atherosclerotic lesions in synchrony i.e, bilateral renal artery stenosis with bilateral subclavian artery stenosis with coronary artery triple vessel atherosclerotic disease like in our case and its severity should create awareness among health care individuals and early treatment measures including lifestyle modifications should be considered to avoid such drastic events.
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spelling doaj.art-4b2860ac0f944102af07c0d164a513812024-02-16T01:00:04ZengF1000 Research LtdF1000Research2046-14022024-01-0112161756Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]Gajendra Agrawal0Satish Khadse1Kashish Khurana2https://orcid.org/0000-0002-6672-3784Benumadhab Ghosh3https://orcid.org/0000-0002-7895-5988Sourya Acharya4Anuj Chaturvedi5Saket Toshniwal6https://orcid.org/0000-0002-3742-2835Isha Sahai7https://orcid.org/0000-0003-0938-0508Sunil Kumar8Cardiology, Jawaharlal Nehru medical college, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, IndiaCardiology, Jawaharlal Nehru medical college, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaCardiology, Jawaharlal Nehru medical college, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaGeneral Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of higher education and research, Wardha, Maharashtra, 442001, IndiaPeripheral artery (PAD) disease in association with renal artery stenosis is an important association which predicts the severity of the disease. An increase in the number of vessels affected by peripheral artery disease increases the chances of renal artery stenosis. In our case, the patient had primarily presented with anginal chest pain with complaints of claudication which on further investigation was diagnosed to be a triple vessel coronary artery disease along with bilateral subclavian and bilateral renal stenosis. On detailed history taking, risk factors like hypertension and chronic smoking was found to be present in our case which predisposed to peripheral artery disease secondary to atherosclerosis which was diagnosed on further investigations. Although the association of renal artery stenosis is not very rare in cases of severe peripheral vascular diseases, the presence of a triple vessel coronary artery disease in synchrony is what makes it unique. Take away lesson from this case report is importance of early diagnosis of dyslipidemia causing atherosclerosis and its complications. Multiple atherosclerotic lesions in synchrony i.e, bilateral renal artery stenosis with bilateral subclavian artery stenosis with coronary artery triple vessel atherosclerotic disease like in our case and its severity should create awareness among health care individuals and early treatment measures including lifestyle modifications should be considered to avoid such drastic events.https://f1000research.com/articles/12-738/v3atherosclerosis subclavian artery stenosis renal artery stenosis coronary angiography dyslipidemia triple vessel diseaseeng
spellingShingle Gajendra Agrawal
Satish Khadse
Kashish Khurana
Benumadhab Ghosh
Sourya Acharya
Anuj Chaturvedi
Saket Toshniwal
Isha Sahai
Sunil Kumar
Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
F1000Research
atherosclerosis
subclavian artery stenosis
renal artery stenosis
coronary angiography
dyslipidemia
triple vessel disease
eng
title Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
title_full Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
title_fullStr Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
title_full_unstemmed Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
title_short Case Report: Multiple atherosclerotic plaques at its extreme in synchrony [version 3; peer review: 2 approved]
title_sort case report multiple atherosclerotic plaques at its extreme in synchrony version 3 peer review 2 approved
topic atherosclerosis
subclavian artery stenosis
renal artery stenosis
coronary angiography
dyslipidemia
triple vessel disease
eng
url https://f1000research.com/articles/12-738/v3
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