PMC10155832_01
Calcifications of multiple vascular walls. Calcification foci of the aortic arch (A,B) and ascending aorta (C-F) disseminated in the arterial walls.
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F1
He was reexamined in July 2022 for an aorta and head CTA, which revealed calcification of the aortic arch, right subclavian artery, and right internal carotid artery (Figure 1).
Stenosis of cranial and carotid arteries. (A) Anterior view, (B) posterior view, (C) lateral view (left side), (D) lateral view (right side), (E) stenosis of left ICA, and (F) stenosis of right ICA. ICA, internal carotid arteries.
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F2
Severe stenosis was found in the distal segment of the right common carotid artery, the bilateral internal carotid artery (C1 segment), the proximal and middle segments of the bilateral vertebral arteries, the bilateral middle cerebral arteries (M2 segment), (Figure 2) the beginning of the left renal artery, celiac trunk, superior and inferior mesenteric arteries, and the entire course of the right renal artery.
Stenosis of major and renal arteries in systematic CTA. The whole course of aorta was slender with multiple vascular thickening and stenoses. The diameter of the ascending aorta and was thoracic aorta about 21 and 12 mm, respectively. The wall of the aortic trunk and segments were thickened with calcification. Slim right renal artery was present with a diameter of about 1 mm and thickened renal arterial intima. (A) Anterior view, (B) lateral view, (C) posterior view of systematic CTA, (D) stenotic lesions of the left renal artery ostia, and (E) stenotic lesions of the right renal artery ostia. CTA, computed tomography angiography.
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F3
Riolan arterial arch opened (Figure 3) (Table 2). Renal blood flow showed that the left kidney was 87.6 ml/min 1.73 m2 and that the right kidney did not function.