Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection

The commonest site of primary dissection involving the visceral vessels is renal arteries; however, spontaneous bilateral renal artery dissection is an extremely rare entity. Spontaneous renal artery dissection (SRAD) is rarely a cause of renovascular hypertension. Segmental arterial mediolysis is a...

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Main Authors: Nirmal K. Onteddu, MD, Zakaria Hindi, MD, Gaurav Rajashekar, MD, Sanjeeva P. Kalva, MD
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S193004331730047X
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author Nirmal K. Onteddu, MD
Zakaria Hindi, MD
Gaurav Rajashekar, MD
Sanjeeva P. Kalva, MD
author_facet Nirmal K. Onteddu, MD
Zakaria Hindi, MD
Gaurav Rajashekar, MD
Sanjeeva P. Kalva, MD
author_sort Nirmal K. Onteddu, MD
collection DOAJ
description The commonest site of primary dissection involving the visceral vessels is renal arteries; however, spontaneous bilateral renal artery dissection is an extremely rare entity. Spontaneous renal artery dissection (SRAD) is rarely a cause of renovascular hypertension. Segmental arterial mediolysis is a rare arteriopathy of unknown etiology which is a nonatherosclerotic and noninflammatory condition. We report a case of a 51-year-old male patient with spontaneous dissection of bilateral renal arteries with clinical, laboratory, and angiographic findings consistent with segmental artery mediolysis. Early diagnosis and treatment of this condition will decrease morbidity and mortality. Keywords: Segmental arterial mediolysis, Dissection, Renal hypertension
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spelling doaj.art-7cef3dedbf754cea9029a86de8b058262022-12-22T03:34:41ZengElsevierRadiology Case Reports1930-04332018-04-01132495498Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissectionNirmal K. Onteddu, MD0Zakaria Hindi, MD1Gaurav Rajashekar, MD2Sanjeeva P. Kalva, MD3Department of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, TX, USA; Corresponding author.Department of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, TX, USADepartment of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, TX, USADivision of Interventional & Vascular Radiology, UT Southwestern Medical Center, Dallas, TX, USAThe commonest site of primary dissection involving the visceral vessels is renal arteries; however, spontaneous bilateral renal artery dissection is an extremely rare entity. Spontaneous renal artery dissection (SRAD) is rarely a cause of renovascular hypertension. Segmental arterial mediolysis is a rare arteriopathy of unknown etiology which is a nonatherosclerotic and noninflammatory condition. We report a case of a 51-year-old male patient with spontaneous dissection of bilateral renal arteries with clinical, laboratory, and angiographic findings consistent with segmental artery mediolysis. Early diagnosis and treatment of this condition will decrease morbidity and mortality. Keywords: Segmental arterial mediolysis, Dissection, Renal hypertensionhttp://www.sciencedirect.com/science/article/pii/S193004331730047X
spellingShingle Nirmal K. Onteddu, MD
Zakaria Hindi, MD
Gaurav Rajashekar, MD
Sanjeeva P. Kalva, MD
Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
Radiology Case Reports
title Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
title_full Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
title_fullStr Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
title_full_unstemmed Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
title_short Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
title_sort segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
url http://www.sciencedirect.com/science/article/pii/S193004331730047X
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