Kimura Keiichi, Ohtake Hiroshi, Kato Hiroki, Yashiki Noriyoshi, Tomita Shigeyuki, Watanabe Go
Department of General & Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Ann Vasc Dis. 2010;3(2):152-6. doi: 10.3400/avd.AVDcr01017. Epub 2010 Aug 6.
Fibromuscular dysplasia (FMD), a disease process which leads to arterial stenosis and aneurysm formation, has been reported to occur in almost every arterial bed in the body. However, multivisceral FMD is rare, and we report a 43-year-old woman with hypertension who had incidental finding of FMD of both renal arteries and the superior mesenteric artery (SMA). The left renal aneurysms and right renal stenosis were successfully treated by aneurysm resection and aortorenal bypass and percutaneous transluminal angioplasty, respectively. The asymptomatic FMD of the SMA was treated conservatively. The indications for intervention in patients with asymptomatic FMD have not been clarified till date, and we therefore advise a close surveillance program.
纤维肌性发育异常（FMD）是一种可导致动脉狭窄和动脉瘤形成的疾病过程，据报道几乎发生于人体的每个动脉床。然而，多脏器FMD较为罕见，我们报告了一名43岁的高血压女性，她偶然发现双侧肾动脉和肠系膜上动脉（SMA）均患有FMD。左肾动脉瘤和右肾狭窄分别通过动脉瘤切除术、主动脉肾动脉搭桥术和经皮腔内血管成形术成功治疗。SMA无症状的FMD采取保守治疗。迄今为止，无症状FMD患者的干预指征尚未明确，因此我们建议进行密切监测。
