PMC5956623_01
Coronal and axial CT angiogram (arterial phase) demonstrating right and left renal artery aneurysms (blue arrows) and bilateral renal infarctions (red arrows). There is an approximately 14mm left renal and 10mm right renal aneurysm.
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A CTA revealed bilateral renal artery stenoses, aneurysms, and occlusions with multiple renal infarcts (Fig. 1), but the other visceral arteries, including coeliac, superior mesenteric (SMA), and splenic, were disease free (Fig. 2).
Digital subtraction angiography (DSA) showing proximal right renal artery branches with stenoses and aneurysm. There is also an established infarct in the medial posterior pole of the kidney (arrow).
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CTA demonstrating no significant interval change in abnormalities consistent with SAM of the right renal artery (arrow).
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Follow-up CTA imaging over the ensuing 5 months did not demonstrate progression (Figure 4, Figure 5) and the patient's renal function normalised.
CTA illustrating no significant interval change in aneurysms or stenoses within the left renal artery (arrows).
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Follow-up CTA imaging over the ensuing 5 months did not demonstrate progression (Figure 4, Figure 5) and the patient's renal function normalised.