Renal artery stenoses with incidental mesenteric artery stenoses

Case contributed by Brendan Cullinane

Presentation

History of hypertension, which was poorly controlled by medication until recently. Bilateral <60% renal artery stenoses were identified in a renal artery ultrasound in December 2010. The stenoses were also graded at <60% on a surveillance ultrasound in December 2011. This surveillance ultrasound was performed in June 2012.

Patient Data

Age: 65 year
Gender: Female
Race: Caucasian

Elevated peak systolic velocities and velocity ratios in the right renal artery suggesting a >60% stenosis. The stenosis extends from the origin to the mid-segment. Progressive decrease in length of the right kidney over 1 1/2 years.

Elevated peak systolic velocites in the left renal artery with velocity ratios within normal limits suggesting a <60% stenosis from the origin to the proximal segment. Variable length measurements of the left kidney.

>70% stenoses of the coeliac axis and superior mesenteric artery.

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Case Information

rID: 18219
Case created: 20th Jun 2012
Last edited: 23rd Jan 2016
System: Vascular
Inclusion in quiz mode: Included

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