Renal artery stenosis caused by aortic dissection

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Previous cardiac surgery for type A dissecting aortic aneurysm. Intractable arterial hypertension.

Patient Data

Age: 65
Gender: Male
This study is a stack
Oblique
3D VRT
This study is a stack
Coronal C+
arterial phase
This study is a stack
Axial C+
arterial phase
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Info

Stenotic left renal artery arising from the caudal end of the false lumen of the dissecting aneurysm. Markedly reduced enhancement of the normal sized left kidney during the arterial phase.

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Info

Massively reduced perfusion and loss of excretory function of the left kidney.

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Info

Tardus parvus Doppler pattern with reduced resistive (Pourcelot) index of the left kidney.

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