Salmoukas Christina, Ruemke Stefan, Bräsen Jan Hinrich, Haverich Axel, Teebken Omke Enno
1 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany.
2 Department for Pathology, Hannover Medical School, Hannover, Germany.
Vasa. 2017 Jul;46(4):313-318. doi: 10.1024/0301-1526/a000619. Epub 2017 Feb 20.
Fibromuscular dysplasia is a non-inflammatory, non-atherosclerotic vascular disease, occurring predominantly in younger females. A histologically heterogeneous group of fibroplasia without an inflammatory component causes arterial narrowing. It affects mostly one or both renal arteries, cervicocranial or visceral arteries, leading to hypertension, renal failure/renal infarction or stroke/transient ischaemic attack. We present the case of a young female patient with abdominal aortic coarctation, history of acute renal failure, and critical hypertension due to pseudo-occlusion of both renal arteries. We performed renal artery revascularization specifically by using the Riolan anastomosis as feeding vessel.
纤维肌发育不良是一种非炎症性、非动脉粥样硬化性血管疾病，主要发生于年轻女性。一组组织学上异质性的无炎症成分的纤维增生导致动脉狭窄。它主要影响一侧或双侧肾动脉、颈颅动脉或内脏动脉，导致高血压、肾衰竭/肾梗死或中风/短暂性脑缺血发作。我们报告了一例年轻女性患者，患有腹主动脉缩窄、急性肾衰竭病史，以及由于双侧肾动脉假性闭塞导致的严重高血压。我们专门通过使用里罗兰吻合术作为供血血管进行了肾动脉血运重建。
