13 January 2009
An unusual cardiovascular triad: Renal artery stenosis, aortic dissection and dilated cardiomyopathy in a young male
Cherie Lamb, Cinnamon Bradley, Chinedu IvonyeAm J Case Rep 2009; 10:5-8 :: ID: 869533
Abstract
Background: Renal Artery Stenosis (RAS) is classically a disease of young females with fibromuscular dysplasia(FMD) or elderly males with atherosclerosis. Although RAS can cause uncontrolled hypertension and lead to aortic dissection, there are few case reports of these two entities occurring with dilated cardiomyopathy in young patients. We present an unusual case of renal artery stenosis, aortic dissection and dilated cardiomyopathy in a young African male.
Case Report: A 22-year-old African male with no significant past medical history presented to the emergency room with chest pain, shortness of breath and hypertensive crisis. Workup revealed a dilated cardiomyopathy, bilateral RAS with collateral circulation, an abdominal aortic aneurysm and an aortic dissection. The etiology of his RAS was thought to be congenital as a definitive cause was not elicited. The patient later underwent surgical repair of his aortic and renal vasculature.
Conclusions: This is a rare presentation of RAS because it strays from the classical presenting group of young females with fi bromuscular dysplasia and elderly males with atherosclerosis. In addition, there are few cases eliciting the triad of RAS, aortic dissection and dilated cardiomyopathy in a young black male.
Keywords: renal artery stenosis, dilated cardiomyopathy, abdominal aortic dissection
In Press
14 Mar 2024 : Case report
Eosinophilic Pleural Effusion Secondary to Trichinella spiralis Infection in a Patient with Systemic Sclero...Am J Case Rep In Press; DOI: 10.12659/AJCR.943420
14 Mar 2024 : Case report
Laparoscopic Sleeve Gastrectomy with Staple-Line Oversewing in a Patient with Factor XI Deficiency: A Case ...Am J Case Rep In Press; DOI: 10.12659/AJCR.942824
14 Mar 2024 : Case report
Pathogenic Potential of a PCK1 Gene Variant in Cytosolic PEPCK Deficiency: A Compelling Case StudyAm J Case Rep In Press; DOI: 10.12659/AJCR.943118
14 Mar 2024 : Case report
Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Lapa...Am J Case Rep In Press; DOI: 10.12659/AJCR.942826
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250