Fibromuscular dysplasia: Rare case of secondary hypertension in young male

Nor, Mosab Ahmed; Siyad, Mohamed Osman; Hassan, Mohamed Sheikh; Osman, Ahmed Adam; abdullahi, Abdikamil

doi:10.1016/j.amsu.2022.104055

Cited by 1 publication

(2 citation statements)

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“…4 FMD is a rare, idiopathic, non-atherosclerotic, non-inflammatory disorder that results in narrowing of small and medium-sized arteries. 5 It is defined as a "string of beads" appearing in angiographic views as a result of post-stenotic aneurysms in multifocal FMD or only narrowing of the renal artery or arteries in focal FMD. 6 Though FMD can affect both genders, occur at any age, and affect mostly white females, it manifests as HTN with a positive family history of hypertension, affecting renal arteries in up to 91% of cases and 57% of cases with multi-vessel affection 7 .…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Focal Renal Fibromuscular Dysplasia Treated With Angioplasty: A Case Report

Al-Falahi,

Al-Aghbari,

Al-Muriesh

2023

Vasc Endovascular Surg

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Background Fibromuscular dysplasia is an idiopathic, segmental, nonatherosclerotic, noninflammatory vascular disease that can lead to arterial stenosis, tortuosity, occlusion, aneurysms, and dissection. Fibromuscular dysplasia is a rare cause of hypertension that can easily be missed. To date, there has been no definitive treatment for fibromuscular dysplasia. Case report In this report, we present an uncommon case of renovascular hypertension in a 21-year-old non-white female with a 3-year history of hypertension secondary to fibromuscular dysplasia involving bilateral renal arteries. Computed tomography angiography during the arterial phase revealed distal focal narrowing of the right main renal artery, distal focal narrowing of the left main renal artery, and proximal focal narrowing of the left accessory lower renal artery. Percutaneous balloon dilatation of the stenotic lesion was performed successfully up to 1 year After the procedure, the arterial blood pressure was within the normal range (110/70 to 125/75 mmHg) without medication. After 1 year of follow-up, CTA revealed re-stenosis in left main renal artery without clinical symptoms and normal blood pressure. Repeated procedure was done successfully. Conclusions This case report highlights the difficulty in the diagnosis and treatment of focal fibromuscular dysplasia in young non-white female patients. Computerized tomographic angiography is a useful tool for identifying the cause and showing the benefit of percutaneous transluminal renal angioplasty treatment for this rare entity, as an early percutaneous angioplasty intervention may have a clinical cure for hypertension.

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Section: Discussionmentioning

confidence: 99%

“…2 There is no definitive treatment for FMD. 5 The goal of treatment is to normalize blood pressure, decrease the number of medications used, and prevent further organ damage. Resistant hypertension or hypertension in a young patient should be thoroughly evaluated.…”

Section: Discussionmentioning

confidence: 99%