“…22,35 Patients with ADPKD also exhibit prominent connective tissue abnormalities, 38 including abnormal arterial remodeling, intracranial aneurysms, hernia/diverticula, and dilation of the pericardium with pericardial effusion. 39 Recent studies 40,41 also show an approximately threefold increase in the occurrence of bronchiectasis in patients with ADPKD. Moreover, the bronchiectasis is frequently coupled with irregular bronchial wall thickness, without evidence of recurrent airway infection, inferring airway wall defects and possible ASM involvement.…”