Abstract

MEJIA-ZULUAGA, Mateo et al. Spontaneous renal infarction and carotid dissection: complications of fibromuscular dysplasia. Rev. Colomb. Cardiol. [online]. 2020, vol.27, n.5, pp.481-484.  Epub July 28, 2021. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2019.09.013.

Fibromuscular dysplasia is a non-inflammatory and non-atherosclerotic disease that can affect any arterial bed, with the renal and the internal carotid arteries being the most compromised.

A case is presented on a patient that had abdominal pain and pain in the back of the head, and an incomplete Horner syndrome. In the renal arteriography and cerebral pan-angiography carried out by interventionist Cardiology, a right renal infarction and dissection of the right internal carotid was observed with a pseudo-aneurysm formation. Intravenous treatment was performed with angioplasty, and the patient was discharged with dual antiplatelet therapy.

It is important to be aware of this type of clinical presentation, since the diagnosis can be confused with other diseases that produce similar signs and symptoms. It would be ideal to have a high clinical suspicion in order to avoid delays in the management.

Keywords : Cerebrovascular accident; Carotid dissection; Renal infarction; Fibromuscular dysplasia.

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