Screening for fibromuscular dysplasia after spontaneous coronary artery dissection unmasks a massive right renal artery aneurysm requiring ex vivo surgical resection and autotransplantation

McGrath-Cadell, Lucy and Heer, Munish and Mahajan, Nikhil and Graham, Robert (2025) Screening for fibromuscular dysplasia after spontaneous coronary artery dissection unmasks a massive right renal artery aneurysm requiring ex vivo surgical resection and autotransplantation. BMJ Case Reports, 18 (3). pp. e263132. ISSN 1757-790X

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Link to published document: https://doi.org/10.1136/bcr-2024-263132

Abstract

Spontaneous coronary artery dissection (SCAD) is an increasingly recognised cause of acute coronary syndrome predominantly affecting women (>90% of cases) that is frequently associated with other arteriopathies, such as fibromuscular dysplasia (FMD) and migraine. We present a case of multi-vessel SCAD in a woman in her 40s presenting with myocardial infarction in whom incidental widespread FMD was found, including a massive right renal artery aneurysm requiring ex vivo resection, repair and autotransplantation. The case underscores the need for routine angiographic screening for FMD, which has a shared genetic risk with SCAD, and is associated with aneurysms, stenoses and hypertension.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Depositing User: Repository Administrator
Date Deposited: 05 May 2025 06:41
Last Modified: 05 May 2025 06:41
URI: https://eprints.victorchang.edu.au/id/eprint/1690

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