经皮治疗慢性主动脉夹层患者的肾动脉受压：一例报告

Renal artery compromise treated percutaneously in a patient with chronic aortic dissection: a case report.

作者信息

Awadalla Hany M, Salloum Joseph G, Smalling Richard W

机构信息

Department of Medicine, University of Texas Medical School and Hermann Hospital, Houston, Texas 77225, USA.

出版信息

Catheter Cardiovasc Interv. 2004 Apr;61(4):445-9. doi: 10.1002/ccd.20002.

DOI:10.1002/ccd.20002

PMID:15065135

Abstract

Organ malperfusion most commonly occurs in the acute stage of aortic dissection and is associated with a high mortality, but can occur with chronic dissection. We describe a case of a type 3 aortic dissection, which had a stenosed left renal artery originating from the false lumen and causing resistant hypertension. The left renal artery was successfully dilated and stented, with prompt resolution of the patient's hypertension.

摘要

器官灌注不良最常发生在主动脉夹层的急性期，且与高死亡率相关，但也可发生于慢性夹层。我们描述了一例3型主动脉夹层病例，其左肾动脉起源于假腔并狭窄，导致顽固性高血压。左肾动脉成功进行了扩张和支架置入，患者的高血压迅速得到缓解。