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腹主动脉缩窄和左肾动脉狭窄伴纤维发育异常所致高血压

Coarctation of the abdominal aorta and stenosis of the left renal artery with hypertension caused by fibrodysplasia.

作者信息

Vuong P N, Trinh A C, Lagneau P, Camilleri J P

机构信息

Department of Pathology, Saint-Michel Hospital, Paris, France.

出版信息

Arch Pathol Lab Med. 1989 Jul;113(7):809-11.

PMID:2742463
Abstract

The causes frequently ascribed to coarctation of the abdominal aorta include atherosclerosis, trauma, inflammatory aortitis, and extrinsic compression. We present a case of coarctation of the abdominal aorta with stenosis of the left renal artery due to fibrodysplasia in a 35-year-old woman, hospitalized for treatment of intermittent claudication and hypertension. This coarctation was resected and end-to-end anastomosis with reimplantation of the left renal artery was performed. Results of an anatomopathologic examination of the resected aortic specimen and the trunk of the left renal artery revealed typical lesions of fibromuscular dysplasia. The specific features of lesions in this case were compared with those from the literature.

摘要

腹主动脉缩窄的常见病因包括动脉粥样硬化、创伤、炎性主动脉炎和外部压迫。我们报告一例35岁女性因纤维发育异常导致腹主动脉缩窄并左肾动脉狭窄的病例,该患者因间歇性跛行和高血压入院治疗。对该缩窄段进行了切除,并进行了端端吻合术,同时将左肾动脉重新植入。对切除的主动脉标本和左肾动脉主干进行的解剖病理学检查结果显示为典型的纤维肌发育异常病变。将该病例病变的具体特征与文献报道的特征进行了比较。

相似文献

1
Coarctation of the abdominal aorta and stenosis of the left renal artery with hypertension caused by fibrodysplasia.腹主动脉缩窄和左肾动脉狭窄伴纤维发育异常所致高血压
Arch Pathol Lab Med. 1989 Jul;113(7):809-11.
2
[Atypical coarctation of the thoracic aorta caused by fibromuscular dysplasia].[纤维肌性发育异常所致胸主动脉非典型缩窄]
Arch Mal Coeur Vaiss. 1994 Sep;87(9):1233-6.
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[Atypical coarctation of the thoracic aorta with fibromuscular dysplasia--report of a successful surgical repair and review of the literature].[合并纤维肌发育不良的非典型胸主动脉缩窄——成功手术修复报告及文献综述]
Nihon Geka Gakkai Zasshi. 1989 Jan;90(1):130-3.
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Association of coarctation of the thoracic aorta with fibromuscular dysplasia of the renal arteries: a case report.
Angiology. 1982 Feb;33(2):119-24. doi: 10.1177/000331978203300207.
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[Surgery of abdominal aorta with horseshoe kidney].马蹄肾腹主动脉手术
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[Fibromuscular dysplasia of the aorta].[主动脉纤维肌性发育异常]
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Persistant hypokalemia due to bilateral fibromuscular dysplasia of the renal arteries.双侧肾动脉纤维肌性发育异常所致的持续性低钾血症
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[Combined occurrence of renovascular hypertension, coarctation of the abdominal aorta, occlusion of the celiac and mesenteric arteries and kyphoscoliosis with neurofibromatosis--a case report].[肾血管性高血压、腹主动脉缩窄、腹腔干和肠系膜动脉闭塞与脊柱侧凸合并神经纤维瘤病——病例报告]
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引用本文的文献

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A case of type A aortic dissection with underlying fibromuscular dysplasia.一例合并潜在纤维肌性发育异常的A型主动脉夹层。
J Radiol Case Rep. 2011;5(10):22-8. doi: 10.3941/jrcr.v5i10.457. Epub 2011 Oct 1.
2
An infrarenal aortic hypoplasia presented with claudication.下段主动脉发育不良导致间歇性跛行。
J Korean Med Sci. 2010 Jun;25(6):950-2. doi: 10.3346/jkms.2010.25.6.950. Epub 2010 May 25.
3
Takayasu's arteritis and fibromuscular dysplasia as causes of acquired atypical coarctation of the aorta: retrospective analysis of seven cases.
高安动脉炎和纤维肌性发育异常作为后天性非典型主动脉缩窄的病因:7例回顾性分析
Heart Vessels. 1999;14(6):277-82. doi: 10.1007/BF03257239.