John Santhosh G, Pillai Unnikrishnan, Vaidyan Philip B, Ishiyama Takaaki
Department of Internal Medicine, Saint Mary's Health Center in St. Louis, USA.
Mo Med. 2010 Mar-Apr;107(2):124-6.
Isolated spontaneous dissection of renal arteries or its branches are extremely rare. Most cases of renal artery dissection are associated with underlying pathology of the renal arteries. We report a case of spontaneous dissection of the left main renal artery and infarction of the left kidney with positive antiphospholipid antibody. Extensive work up of the patient including imaging studies confirmed the diagnosis of SRAD. Antiphospholipid antibodies may have a role in the pathogenesis of arterial dissection by causing endothelial dysfunction. This is a first literature report.
孤立性肾动脉或其分支的自发性夹层极为罕见。大多数肾动脉夹层病例与肾动脉的潜在病变有关。我们报告一例左主肾动脉自发性夹层并左肾梗死且抗磷脂抗体阳性的病例。对该患者进行的包括影像学检查在内的全面检查确诊为孤立性肾动脉夹层。抗磷脂抗体可能通过引起内皮功能障碍在动脉夹层的发病机制中起作用。这是文献首次报道。