Fibromuscular Dysplasia: A Rare Case with Multiple Vascular Beds Involvement
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1Department of Neurosurgery, Sarawak General Hospital, Sarawak, Malaysia.
Abstract:
Fibromuscular dysplasia (FMD) is an idiopathic, noninflammatory, and nonatherosclerotic vascular disease of small to medium-sized arteries. It can occur in almost all arteries and most commonly involving the cervicocranial and renal arteries. FMD is commonly presents as renovascular hypertension and affects mostly young ladies. However, this case demonstrates a casuistically rare form of multiple arterial beds involvement at different sites, that is, vertebral, coronary, hepatic, and lumbar arteries, with the conjunction of both bilateral renal and cervicocranial arteries.
Insights
Fibromuscular dysplasia (FMD) is a rare vascular condition. This case highlights a unique instance of FMD affecting multiple arteries simultaneously, including vertebral, coronary, hepatic, and lumbar vessels.
Area of Science:
- Vascular Medicine
- Radiology
Background:
- Fibromuscular dysplasia (FMD) is an idiopathic, noninflammatory, and nonatherosclerotic condition affecting small to medium-sized arteries.
- It most commonly involves the cervicocranial and renal arteries, often presenting as renovascular hypertension, predominantly in young women.
Observation:
- This report details a rare case of FMD with extensive multi-arterial involvement.
- The patient presented with simultaneous FMD in the vertebral, coronary, hepatic, and lumbar arteries.
Findings:
- The case uniquely demonstrates the conjunction of bilateral renal and cervicocranial artery involvement with other previously listed arterial beds.
- This presentation signifies a rare and complex manifestation of fibromuscular dysplasia.
Implications:
- This case expands the understanding of FMD's potential distribution and complexity.
- It underscores the importance of considering widespread arterial screening in atypical FMD presentations.
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