CASE REPORT   

International Angiology 2004 September;23(3):288-90

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Stenosis of the abdominal aorta caused by fibromuscular dysplasia

Flores J. ¹, Shiiya N. ¹, Matsuzaki K. ¹, Kunihara T. ¹, Ota S. ², Yasuda K. ¹

¹ Departament of Cardiovascular Surgery, Hokkaido University School of Medicine, Hokkaido, Japan 2 Department of Surgical Pathology, Hokkaido University School of Medicine, Hokkaido, Japan

Fibro­mus­cu­lar dys­pla­sia of the aorta is an exceed­ing­ly rare dis­ease with 26 cases report­ed to date in Med­line. We ­present a case of sten­o­sis of the infra­ren­al abdom­i­nal aorta in a 49-year-old woman with a his­to­ry of inter­mit­tent claud­i­ca­tion. The ­patient under­went aor­tic endar­te­rec­to­my, and sub­se­quent ana­tom­o­path­o­log­ic exam­ina­tion of the spec­i­men ­revealed fibro­mus­cu­lar dys­pla­sia. The pos­sible caus­es of aor­tic sten­o­sis in this case, its angio­graph­ic find­ings, and the alter­na­tives of treat­ment are dis­cussed.