Cargando…

An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment

Fibromuscular dysplasia (FMD) is an idiopathic, segmental, non-inflammatory and non-atherosclerotic disease that affects arterial walls, leading to stenosis of small and medium-sized arteries. FMD mostly involves renal and intracranial arteries and only in few patients is associated with macroaneury...

Descripción completa

Detalles Bibliográficos
Autores principales: Buso, Roberta, Rattazzi, Marcello, Leoni, Matteo, Puato, Massimo, Paola, Francesco Di, Pauletto, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772574/
https://www.ncbi.nlm.nih.gov/pubmed/24044026
http://dx.doi.org/10.2174/1874192401307010050
_version_ 1782284347138637824
author Buso, Roberta
Rattazzi, Marcello
Leoni, Matteo
Puato, Massimo
Paola, Francesco Di
Pauletto, Paolo
author_facet Buso, Roberta
Rattazzi, Marcello
Leoni, Matteo
Puato, Massimo
Paola, Francesco Di
Pauletto, Paolo
author_sort Buso, Roberta
collection PubMed
description Fibromuscular dysplasia (FMD) is an idiopathic, segmental, non-inflammatory and non-atherosclerotic disease that affects arterial walls, leading to stenosis of small and medium-sized arteries. FMD mostly involves renal and intracranial arteries and only in few patients is associated with macroaneurysms (RAAs). We present the case of a 45-years old woman with recent history of grade 2 hypertension that suffered of subarachnoid haemorrhage due to rupture of a basilar artery aneurysm. The cerebral aneurysm was immediately treated by coil embolization and an abdominal angio-CT scan was performed to investigate the presence of renovascular hypertension. The exam showed the presence of FMD of the renal arteries associated with presence of bilateral RAAs. Due to the high risk of rupture, the bigger aneurysm (2,5 cm diameter) present on the left artery was immediately treated by coil embolization. The fusiform aneurysm, present on the right renal artery, was instead treated one year later by using two flow diverter stents. After three years, an angiographic study showed that both cerebral and renal aneurysms were excluded from the blood flow without evidence of arterial restenosis.
format Online
Article
Text
id pubmed-3772574
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Bentham Open
record_format MEDLINE/PubMed
spelling pubmed-37725742013-09-16 An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment Buso, Roberta Rattazzi, Marcello Leoni, Matteo Puato, Massimo Paola, Francesco Di Pauletto, Paolo Open Cardiovasc Med J Article Fibromuscular dysplasia (FMD) is an idiopathic, segmental, non-inflammatory and non-atherosclerotic disease that affects arterial walls, leading to stenosis of small and medium-sized arteries. FMD mostly involves renal and intracranial arteries and only in few patients is associated with macroaneurysms (RAAs). We present the case of a 45-years old woman with recent history of grade 2 hypertension that suffered of subarachnoid haemorrhage due to rupture of a basilar artery aneurysm. The cerebral aneurysm was immediately treated by coil embolization and an abdominal angio-CT scan was performed to investigate the presence of renovascular hypertension. The exam showed the presence of FMD of the renal arteries associated with presence of bilateral RAAs. Due to the high risk of rupture, the bigger aneurysm (2,5 cm diameter) present on the left artery was immediately treated by coil embolization. The fusiform aneurysm, present on the right renal artery, was instead treated one year later by using two flow diverter stents. After three years, an angiographic study showed that both cerebral and renal aneurysms were excluded from the blood flow without evidence of arterial restenosis. Bentham Open 2013-07-26 /pmc/articles/PMC3772574/ /pubmed/24044026 http://dx.doi.org/10.2174/1874192401307010050 Text en © Buso et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Buso, Roberta
Rattazzi, Marcello
Leoni, Matteo
Puato, Massimo
Paola, Francesco Di
Pauletto, Paolo
An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title_full An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title_fullStr An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title_full_unstemmed An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title_short An Unusual Case of Fibromuscular Dysplasia with Bilateral Renal Macroaneurysms: Three-year Outcome After Endovascular Treatment
title_sort unusual case of fibromuscular dysplasia with bilateral renal macroaneurysms: three-year outcome after endovascular treatment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772574/
https://www.ncbi.nlm.nih.gov/pubmed/24044026
http://dx.doi.org/10.2174/1874192401307010050
work_keys_str_mv AT busoroberta anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT rattazzimarcello anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT leonimatteo anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT puatomassimo anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT paolafrancescodi anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT paulettopaolo anunusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT busoroberta unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT rattazzimarcello unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT leonimatteo unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT puatomassimo unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT paolafrancescodi unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment
AT paulettopaolo unusualcaseoffibromusculardysplasiawithbilateralrenalmacroaneurysmsthreeyearoutcomeafterendovasculartreatment