Onteddu Nirmal K, Hindi Zakaria, Rajashekar Gaurav, Kalva Sanjeeva P
Department of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, TX, USA.
Division of Interventional & Vascular Radiology, UT Southwestern Medical Center, Dallas, TX, USA.
Radiol Case Rep. 2018 Jan 11;13(2):495-498. doi: 10.1016/j.radcr.2017.11.017. eCollection 2018 Apr.
The commonest site of primary dissection involving the visceral vessels is renal arteries; however, spontaneous bilateral renal artery dissection is an extremely rare entity. Spontaneous renal artery dissection (SRAD) is rarely a cause of renovascular hypertension. Segmental arterial mediolysis is a rare arteriopathy of unknown etiology which is a nonatherosclerotic and noninflammatory condition. We report a case of a 51-year-old male patient with spontaneous dissection of bilateral renal arteries with clinical, laboratory, and angiographic findings consistent with segmental artery mediolysis. Early diagnosis and treatment of this condition will decrease morbidity and mortality.
涉及内脏血管的初次解剖最常见部位是肾动脉；然而，自发性双侧肾动脉夹层极为罕见。自发性肾动脉夹层（SRAD）很少是肾血管性高血压的病因。节段性动脉中层溶解是一种病因不明的罕见动脉病，属于非动脉粥样硬化性和非炎症性疾病。我们报告一例51岁男性患者，患有双侧肾动脉自发性夹层，其临床、实验室及血管造影结果符合节段性动脉中层溶解。对此病进行早期诊断和治疗将降低发病率和死亡率。
