Indriani Suci, Adiarto Suko, Andriantoro Hananto, Sunu Ismoyo, Siddiq Taofan, Dakota Iwan
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia.
Int J Angiol. 2020 Nov 26;31(2):134-137. doi: 10.1055/s-0040-1720972. eCollection 2022 Jun.
Acute renal occlusion is an uncommon emergency problem in daily practice. The diagnosis is often missed or delayed not only because of its rarity but also nonspecific of clinical presentation. Sudden and complete termination of arterial blood supply to the kidney may lead to renal infarction and a complete loss of renal function. Although the need of early revascularization is uniformly recommended, but the methods has not been established. We presented a case of acute thromboembolic renal artery occlusion in patient who had a history of Bentall's surgery. Renal infarction and artery occlusion were clearly visualized by computed tomography angiogram (CTA). The patient was successfully treated with angioplasty and stenting of main renal artery with complete disappearance of symptoms and recovery of his renal function.
急性肾动脉闭塞在日常临床实践中是一种罕见的急症问题。其诊断常常被漏诊或延误，不仅是因为其罕见性，还由于临床表现缺乏特异性。肾脏动脉血液供应的突然完全中断可能导致肾梗死以及肾功能完全丧失。尽管一致推荐早期进行血管重建，但具体方法尚未确立。我们报告了一例有Bentall手术史患者发生急性血栓栓塞性肾动脉闭塞的病例。通过计算机断层血管造影（CTA）清晰显示了肾梗死和动脉闭塞情况。该患者接受了肾动脉主支血管成形术和支架置入术，治疗成功，症状完全消失，肾功能恢复。
