Abstract
Primary renal artery dissection is a rare condition that causes renal infarction and renovascular hypertension. We describe a case of a 48-year-old man who was admitted for left renal infarction due to a primary dissecting aneurysm of renal artery. He was diagnosed by a contrast enhanced abdominal CT scan and a renal angiography demonstrating a dissection at the branch of the left renal artery. He was treated with conservative medical management, including anticoagulation therapy. Forty-five primary renal artery dissections in 38 patients from previous reports were analyzed. Based on this analysis, many cases of primary renal artery dissection were male and had a high blood pressure. Primary renal artery dissection occurred at the right side (12 cases), left side (19), and bilaterally (7). The renal arterial branches were rarely involved in primary renal artery dissection. Assays of peripheral blood renin activity were performed in 15 patients, and all cases had a high value. Therefore, the present case is thought to be unique because he was a normotensive patient with normal plasma renin activity and the renal arterial branch was only dissected.
| Original language | English |
|---|---|
| Pages (from-to) | 695-700 |
| Number of pages | 6 |
| Journal | Japanese Journal of Nephrology |
| Volume | 45 |
| Issue number | 7 |
| Publication status | Published - 2003 |
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Keywords
- Angiography
- Normotension
- Plasma renin activity
- Renal artery dissection
- Renal infarction
ASJC Scopus subject areas
- Nephrology
Cite this
Left renal infarction due to dissecting aneurysm of the renal arterial branch. / Kamiya, Yukako; Ichihara, Atsuhiro; Yamashita, Tomoko; Takase, Osamu; Hayashi, Matsuhiko; Saruta, Takao.
In: Japanese Journal of Nephrology, Vol. 45, No. 7, 2003, p. 695-700.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Left renal infarction due to dissecting aneurysm of the renal arterial branch
AU - Kamiya, Yukako
AU - Ichihara, Atsuhiro
AU - Yamashita, Tomoko
AU - Takase, Osamu
AU - Hayashi, Matsuhiko
AU - Saruta, Takao
PY - 2003
Y1 - 2003
N2 - Primary renal artery dissection is a rare condition that causes renal infarction and renovascular hypertension. We describe a case of a 48-year-old man who was admitted for left renal infarction due to a primary dissecting aneurysm of renal artery. He was diagnosed by a contrast enhanced abdominal CT scan and a renal angiography demonstrating a dissection at the branch of the left renal artery. He was treated with conservative medical management, including anticoagulation therapy. Forty-five primary renal artery dissections in 38 patients from previous reports were analyzed. Based on this analysis, many cases of primary renal artery dissection were male and had a high blood pressure. Primary renal artery dissection occurred at the right side (12 cases), left side (19), and bilaterally (7). The renal arterial branches were rarely involved in primary renal artery dissection. Assays of peripheral blood renin activity were performed in 15 patients, and all cases had a high value. Therefore, the present case is thought to be unique because he was a normotensive patient with normal plasma renin activity and the renal arterial branch was only dissected.
AB - Primary renal artery dissection is a rare condition that causes renal infarction and renovascular hypertension. We describe a case of a 48-year-old man who was admitted for left renal infarction due to a primary dissecting aneurysm of renal artery. He was diagnosed by a contrast enhanced abdominal CT scan and a renal angiography demonstrating a dissection at the branch of the left renal artery. He was treated with conservative medical management, including anticoagulation therapy. Forty-five primary renal artery dissections in 38 patients from previous reports were analyzed. Based on this analysis, many cases of primary renal artery dissection were male and had a high blood pressure. Primary renal artery dissection occurred at the right side (12 cases), left side (19), and bilaterally (7). The renal arterial branches were rarely involved in primary renal artery dissection. Assays of peripheral blood renin activity were performed in 15 patients, and all cases had a high value. Therefore, the present case is thought to be unique because he was a normotensive patient with normal plasma renin activity and the renal arterial branch was only dissected.
KW - Angiography
KW - Normotension
KW - Plasma renin activity
KW - Renal artery dissection
KW - Renal infarction
UR - http://www.scopus.com/inward/record.url?scp=0242458833&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0242458833&partnerID=8YFLogxK
M3 - Article
C2 - 14631765
AN - SCOPUS:0242458833
VL - 45
SP - 695
EP - 700
JO - Japanese Journal of Nephrology
JF - Japanese Journal of Nephrology
SN - 0385-2385
IS - 7
ER -