病例报告：因局灶性肾纤维肌发育不良进展导致肾动脉血管成形术后高血压复发。
Case report: Recurrence of hypertension after renal artery angioplasty due to the progression of focal renal fibromuscular dysplasia.
作者信息
Hong Mona, Kang Yuanyuan, Xu Jianzhong, Wang Jiguang
机构信息
Department of Hypertension, Ruijin Hospital, Shanghai Institute of Hypertension, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出版信息
Front Cardiovasc Med. 2022 Nov 17;9:1008308. doi: 10.3389/fcvm.2022.1008308. eCollection 2022.
Whether fibromuscular dysplasia (FMD) is a progressive disease, remains unclear. We reported a case of focal renal artery FMD that slowly progressed to a branching artery over a few years after the angioplasty without in-stent restenosis, which reconfirms that focal FMD is progressive and that such progression may be segmental. Stenting may be an option for young, risk factor-free patients with focal FMD.
纤维肌发育不良（FMD）是否为一种进行性疾病仍不清楚。我们报告了一例局灶性肾动脉FMD病例，该病例在血管成形术后数年缓慢进展至分支动脉，且无支架内再狭窄，这再次证实局灶性FMD是进行性的，且这种进展可能是节段性的。对于无危险因素的年轻局灶性FMD患者，支架置入术可能是一种选择。
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