Presentation
Previous cardiac surgery for type A dissecting aortic aneurysm. Intractable arterial hypertension.
Patient Data
Age: 65
Gender: Male
From the case:
Renal artery stenosis caused by aortic dissection
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Oblique 3D VRT

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.
From the case:
Renal artery stenosis caused by aortic dissection

Massively reduced perfusion and loss of excretory function of the left kidney.
From the case:
Renal artery stenosis caused by aortic dissection
Longitudinal

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