13 January 2009
An unusual cardiovascular triad: Renal artery stenosis, aortic dissection and dilated cardiomyopathy in a young maleCherie Lamb, Cinnamon Bradley, Chinedu Ivonye
Am J Case Rep 2009; 10:5-8 :: ID: 869533
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
19 May 2022 : Case reportBilateral Emphysematous Pyelonephritis Associated with COVID Pneumonia: A Case Report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936370
17 May 2022 : Case reportHigh-Frequency Oscillatory Ventilation for Refractory Hypoxemia in Severe COVID-19 Pneumonia: A Small Case ...
Am J Case Rep In Press; DOI: 10.12659/AJCR.936651
13 May 2022 : Case reportA case of exacerbation of haloperidol-induced rhabdomyolysis following the onset of COVID-19
Am J Case Rep In Press; DOI: 10.12659/AJCR.936589
23 May 2022 : Case reportPharmacological and Behavioral Strategies to Improve Vision in Acquired Pendular Nystagmus
Am J Case Rep In Press; DOI: 10.12659/AJCR.935148
23 May 2022 : Case reportA Case of Methicillin-Sensitive Staphylococcus aureus (MSSA) Prostate Abscess, Osteomyelitis, and Myositis ...
Am J Case Rep In Press; DOI: 10.12659/AJCR.936704
23 May 2022 : Case reportAdalimumab Mitigates Lumbar Radiculopathy in a Case of Ankylosing Spondylitis
Am J Case Rep In Press; DOI: 10.12659/AJCR.936600
Most Viewed Current Articles
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250
17 Feb 2022 : Case reportMyocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...
Am J Case Rep 2022; 23:e934399
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406