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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Stenosis of the abdominal aorta caused by fibromuscular dysplasia
J Flores1, N Shiiya, K Matsuzaki
1Departament of Cardiovascular Surgery, Hokkaido University School of Medicine, Hokkaido, Japan.
Abstract:
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.
Insights
Fibromuscular dysplasia is a rare aortic disease. This case highlights infrarenal aortic stenosis caused by fibromuscular dysplasia in a middle-aged woman, emphasizing diagnosis and treatment options.
Area of Science:
- Vascular Medicine
- Cardiovascular Pathology
Background:
- Fibromuscular dysplasia (FMD) is a rare, non-atherosclerotic vascular disease.
- Aortic involvement, particularly infrarenal abdominal aorta stenosis, is exceptionally uncommon.
Observation:
- A 49-year-old woman presented with intermittent claudication.
- Angiographic findings revealed stenosis of the infrarenal abdominal aorta.
Findings:
- Surgical aortic endarterectomy was performed.
- Pathological examination confirmed fibromuscular dysplasia as the cause of stenosis.
Implications:
- This case expands the understanding of rare aortic fibromuscular dysplasia presentations.
- It underscores the importance of considering FMD in unexplained aortic stenosis.
- Management strategies for this rare condition warrant further investigation.
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