Renal artery stenosis caused by aortic dissection
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
CT
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Oblique 3D VRT
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
Nuclear medicine
Massively reduced perfusion and loss of excretory function of the left kidney.
From the case:
Renal artery stenosis caused by aortic dissection
Ultrasound
Longitudinal
Tardus parvus Doppler pattern with reduced resistive (Pourcelot) index of the left kidney.
