Spontaneous Renal Artery Dissection in an Otherwise Healthy Male

Abstract

Dissection of a renal artery is rare and, in most cases, associated with underlying arterial diseases. Spontaneous renal artery dissection (RAD) is exceptional. We report the case of a young and otherwise healthy man with an isolated dissection of the right renal artery without any obvious origin. Diagnosis was made by angiography. He received medical treatment and rapidly recovered. Renal artery dissection can be misdiagnosed because its clinical presentation may be confusing. Selective renal angiography is essential to evaluate the extent of the dissection and the suitability for repair. Control of the hypertension and renal function preservation are the two main goals of the treatment. The place of surgical repair remains unclear because of the poor results on hypertension improvement and high complication rate.

Endovascular Treatment of Spontaneous Renal Artery Dissection After Failure of Medical Management

“…This lesion was amenable to endovascular stenting, 5 and thus long-term complications of renal loss were avoided. 21 In cases where medically treated or primary SRAD leads to renal infarction, any compromise in renal function, or severe uncontrollable hypertension, definitive surgical management should be attempted. 22…”

Spontaneous Renal Artery Dissection: An Important Differential Diagnosis for Sudden Onset of Back Pain

“…Though the etiology of SRAD has yet to be elucidated, there are certain conditions reported to be associated with the development of SRAD, such as artherosclerosis. [1][2][3][4][5] Yet patients can be in a good state of health without any apparent major risk factors and still develop SRAD. 3 Indeed, even if future screening tools for SRAD become available, false negatives could still occur.…”

Spontaneous renal artery dissection complicated by renal infarction: description of two cases

“…Spontaneous renal artery dissection (SRAD) is a rare clinical event that typically presents with acute low back or flank pain, hypertension, fever, hematuria, and acute renal failure. The condition is often misdiagnosed, or the diagnosis is delayed, due to its relative rarity and nonspecific presentation (1,2). The diagnosis can be made by contrasted-enhanced computed tomography (CT) scans, and if a problem is found, vascular reconstruction is performed, which can display the lesion more clearly.…”