Isolated spontaneous dissection of the renal artery

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Presentation transcript:

Isolated spontaneous dissection of the renal artery M. Lacombe, MD Journal of Vascular Surgery Volume 33, Issue 2, Pages 385-391 (February 2001) DOI: 10.1067/mva.2001.111736 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Angiographic aspect of dissection suggesting stenosis of renal artery; frankly unusual with uneven strictures and irregularities in caliber. Journal of Vascular Surgery 2001 33, 385-391DOI: (10.1067/mva.2001.111736) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 A, Preoperative angiography of 49-year-old woman with hypertension: spontaneous dissection of left renal artery. B, Renal scintigraphy: large defect in central part of kidney. C, Postoperative angiography after ex vivo repair with branched hypogastric interposition graft: widely patent reconstruction and total recovery kidney parenchyma. Arterial hypertension was totally cured. Journal of Vascular Surgery 2001 33, 385-391DOI: (10.1067/mva.2001.111736) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A, Preoperative angiography of 46-year-old man with hypertension: dissection of right renal artery; only lower pole of kidney is functional. B, Postoperative angiography after ex vivo repair with hypogastric artery autograft and iliac autotransplantation of kidney. Distinct improvement in kidney condition with residual segmental atrophy of its lower pole (kidney placed upside down). Hypertension was improved. Journal of Vascular Surgery 2001 33, 385-391DOI: (10.1067/mva.2001.111736) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 A, Preoperative angiography of 51-year-old man with uncontrollable hypertension. Dissection of renal artery on left solitary kidney. B, Angiographic result at 5 years: residual distal lesions have remained stable with time. Hypertension was considerably improved. Journal of Vascular Surgery 2001 33, 385-391DOI: (10.1067/mva.2001.111736) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Dissecting aneurysm of left renal artery with severe mutilation of kidney requiring nephrectomy. Journal of Vascular Surgery 2001 33, 385-391DOI: (10.1067/mva.2001.111736) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions