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Case Reports
. 2010 Mar-Apr;107(2):124-6.

Spontaneous renal artery dissection

Santhosh G John  1 , Unnikrishnan Pillai, Philip B Vaidyan, Takaaki Ishiyama
Affiliations
Case Reports

Spontaneous renal artery dissection

Santhosh G John et al. Mo Med. 2010 Mar-Apr.

Abstract

Isolated spontaneous dissection of renal arteries or its branches are extremely rare. Most cases of renal artery dissection are associated with underlying pathology of the renal arteries. We report a case of spontaneous dissection of the left main renal artery and infarction of the left kidney with positive antiphospholipid antibody. Extensive work up of the patient including imaging studies confirmed the diagnosis of SRAD. Antiphospholipid antibodies may have a role in the pathogenesis of arterial dissection by causing endothelial dysfunction. This is a first literature report.

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Figures

Figure 1
Figure 1
CT angiogram shows significant stenosis in the anterior branch of the main left renal artery along with associated mural thrombus, suggestive of renal artery dissection
Figure 2
Figure 2
Aorta and its branches including right renal artery were normal. Left kidney infarction was confirmed and showed photopenic defect in the left lower renal pole, corresponding to the area of infarction seen in CT (See Figure 2)
None
See this image and copyright information in PMC

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