Summary
A case of dissecting aneurysm of the renal arteries is presented. The patient suffered from an intractable subarachnoid bleeding and the kidneys had been selected for transplantation. One kidney was never transplanted, the other was transplanted and rejected after few days. Dissecting aneurysms were present in the main artery and its major ramifications in both kidneys. Many investigators have claimed that dissecting aneurysm and fibromuscular dysplasia of the renal artery are different stages of but one disease. A review of the accumulated literature on dissecting aneurysm of the renal artery reveals, however, that this disorder shows a preponderance of middle-aged men, whereas fibromuscular dysplasia of the renal artery affects adolescent girls.
It is concluded that the two disorders of the renal artery most likely represent different vascular diseases.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abet D, Bertoux JP, Vermynck JP, Gamain J, Pietri J (1980) Le traitement des anëvrismes dissequants de l'artère rénale. Ann Chir 34:11–15
Acconia A, Manganelli A (1978) Dissecting aneurysm of renal artery owing to subadventita angioma. J Urol 119:268–270
Altebarmakian VJ, Caldamone AA, Dachelet RJ, May AG (1979) Renal artery aneurysm. Urology 13:257–260
Arnold L, Evans WA (1972) Isolated dissecting aneurysm of the renal artery. Pathology 4:123–128
Bakir AA, Patel SK, Schwarz MM, Lewis EJ (1978) Isolated dissecting aneurysm of the renal artery. Am Heart J 96:92–96
Boquist L, Berg P (1970) Multiple dissecting aneurysms in peripheral arteries. J Pathol 100:145–148
Boyd JF, Watson AJ (1956) Dissecting aneurysm due to trauma. Scot Med J 1:326–329
Cormier J-M, Moulonguet A, Diebold J, Plainfossé M-C (1972) Hématome diss'equant du tronc cæeliaque et des artéres rénale et mésentériques supérieure. Nouv Presse Méd 1:113–116
Cummings KB, Lecky JW, Kaufman JJ (1973) Renal artery aneurysms and hypertension. J Urol 109:144–148
Delin A, Fernström I, Swedenborg J (1979) Intimal dissection of the renal artery following selective angiography. VASA 8:78–82
Englund GW (1966) Primary dissecting aneurysm of the renal artery. Am J Clin Pathol 45:472–479
Foord AG, Lewis RD (1959) Primary dissecting aneurysms of peripheral and pulmonary arteries. Arch Pathol 68:553–577
Foulon P, Berthoux F-C, Dubernard J-M, Gelet A (1978) Hypertension artérielle maligne par anévrisme primitif disséquant de l'artére rénale. Nouv Presse Méd 7:1302–1303
Gelanaud P, Delfraissy J-F, Waligora J, Martin E, Dormont J (1977) Anévrisme disséquant primitif de l'artére rénale avec hypertension artérielle. Nouv Presse Méd 6:1037–1040
Gilfillan RS, Smart WR, Bostick WL (1956) Dissecting aneurysm of the renal artery. Arch Surg 73:737–740
Guthrie W, MacLean H (1972) Dissecting aneurysms of arteries other than the aorta. J PathoI 108:219–235
Hare WSC, Kincaid-Smith P (1970) Dissecting aneurysm of the renal artery. Radiology 97:255–263
Harrison EG, Hunt JV, Bernatz PE (1967) Morphology of fibromuscular dysplasia of the renal artery in renovascular hypertension. Am J Med 43:97–112
Hirst AE, Johns VJ, Kime SW (1958) Dissecting aneurysm of the aorta. Review of 505 cases. Medicine 37:217–279
Henry L, Burke WD (1963) Isolated dissecting aneurysms of the renal artery. Angiology 14:269–276
Ippolito JJ, LeVeen HM (1960) Treatment of renal artery aneurysms. J Urol 83:10–16
Kaufman JJ, Coulson WF, Lecky JW, Popjack G (1973) Primary dissecting aneurysm of renal artery: Report of a case causing reversible renal hypertension. Ann Surg 177:259–263
Khanna OM-P, Nedwich A, Gonick P (1973) Accellerated hypertension due to intramural dissection of accessory renal artery. Urology 1:130–173
Kincaid OW, Davis GD, Hallerman FJ, Hunt JC (1968) Fibromuscular dysplasia of the renal arteries. Arteriographic features, classification, and observations of natural history of the disease. Am J Roentgen 104:271–282
Liebow IM, Cline T, Post RS, Persky L (1956) Isolated bilateral simultaneous dissection of the renal arteries. Am J Med 21:515–516
McCormack LJ, Poutasse EF, Meaney TF, Noto TJ, Dustan HP (1966) A pathologic- arteriographic correlation of renal arterial disease. Am Heart J 72:188–198
Meyers DS, Grim CE, Keitzer WF (1974) Fibromuscular dysplasia of the renal artery with medial dissection. A case simulating polyarteritis nodosa. Am J Med 56:412–416
Neuman HW, Sahin AF (1965) Unilateral dissecting aneurysm of the renal artery. Can J Surg 8:291–295
Oka K, Yamashita M, Sodashima S, Tanaka K (1981) Cerebral haemorrhage in Moyamoya Disease at autopsy. Virchows Arch [Pathol Anat] 392:247–261
Perry MO (1971) Hypertension and dissecting aneurysm of the renal artery. Arch Surg 102:216–217
Ralston LD, Wasdahl WA (1960) Isolated dissecting aneurysms. Arch Med 105:935–938
Rose AG (1983) Diseases of peripheral arteries. In: Silver MD (ed) Cardiovascular pathology. Churchill Livingstone, New York, Edinburgh, London, Melbourne, p 829
Rosenblum WI (1966) Isolated dissecting aneurysm of the renal artery. J Urol 95:135–138
Talner LB, McLaughlin AP, Bookstein JJ (1975) Renal artery dissection: A complication of catheter arteriography. Radiology 117:291–295
Tcherdakoff Ph, Maillet R, Ecoiffier J, Vaysse J, Milliez P (1971) Anévrisme de l'artére rénale chez les malades hypertendus. 42 cases. Presse Méd 79:123–128
Tuqan NA (1965) Primary dissecting aneurysm of the renal artery. J Pathol Bacteriol 89:369–370
Watson AJ (1956) Dissecting aneurysm of arteries other than the aorta. J Pathol Bacteriol LXXII:439–449
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Baandrup, U., Fjeldborg, O. & Olsen, S. Spontaneous dissecting aneurysm of the renal arteries. Vichows Archiv A Pathol Anat 402, 73–82 (1983). https://doi.org/10.1007/BF00695050
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00695050