Left renal infarction due to dissecting aneurysm of the renal arterial branch

Yukako Kamiya, Atsuhiro Ichihara, Tomoko Yamashita, Osamu Takase, Matsuhiko Hayashi, Takao Saruta

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)695-700
Number of pages6
JournalJapanese Journal of Nephrology
Volume45
Issue number7
Publication statusPublished - 2003

Fingerprint

Dissecting Aneurysm
Renal Artery
Infarction
Dissection
Kidney
Renin
Renovascular Hypertension
Renal Hypertension
Angiography
Hypertension

Keywords

  • Angiography
  • Normotension
  • Plasma renin activity
  • Renal artery dissection
  • Renal infarction

ASJC Scopus subject areas

  • Nephrology

Cite this

Kamiya, Y., Ichihara, A., Yamashita, T., Takase, O., Hayashi, M., & Saruta, T. (2003). Left renal infarction due to dissecting aneurysm of the renal arterial branch. Japanese Journal of Nephrology, 45(7), 695-700.

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 journalArticle

Kamiya, Y, Ichihara, A, Yamashita, T, Takase, O, Hayashi, M & Saruta, T 2003, 'Left renal infarction due to dissecting aneurysm of the renal arterial branch', Japanese Journal of Nephrology, vol. 45, no. 7, pp. 695-700.
Kamiya Y, Ichihara A, Yamashita T, Takase O, Hayashi M, Saruta T. Left renal infarction due to dissecting aneurysm of the renal arterial branch. Japanese Journal of Nephrology. 2003;45(7):695-700.
Kamiya, Yukako ; Ichihara, Atsuhiro ; Yamashita, Tomoko ; Takase, Osamu ; Hayashi, Matsuhiko ; Saruta, Takao. / Left renal infarction due to dissecting aneurysm of the renal arterial branch. In: Japanese Journal of Nephrology. 2003 ; Vol. 45, No. 7. pp. 695-700.
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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.

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