Isolated renal artery dissection secondary to medial degeneration

J Urol. 1988 Feb;139(2):346-7. doi: 10.1016/s0022-5347(17)42409-8.


Renal artery aneurysms can have variable presentations, often resulting in a therapeutic dilemma to the clinician. We review the causes, clinical features, pathological conditions and treatment options for this problem. We report a case of a thrombus in 1 of 2 left renal arteries, which resulted in uncontrollable hypertension. At nephrectomy the angiographically normal vessel had medial degeneration, demonstrating the diffuse nature of this disease. Conservative renal-sparing management should be considered whenever possible.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm / diagnostic imaging
  • Aneurysm / pathology*
  • Humans
  • Kidney / diagnostic imaging
  • Male
  • Renal Artery / diagnostic imaging
  • Renal Artery / pathology*
  • Tomography, X-Ray Computed