Spontaneous renal artery dissection (SRAD) is rare. Clinical manifestations vary from minimal symptoms to life-threatening hypertension. We analysed three cases from our institution and conducted a literature review in order to design diagnostic and treatment algorithms for SRAD.
This is a preview of subscription content
Subscribe to Journal
Get full journal access for 1 year
only $9.92 per issue
All prices are NET prices.
VAT will be added later in the checkout.
Tax calculation will be finalised during checkout.
Get time limited or full article access on ReadCube.
All prices are NET prices.
Banitt PF, Clark CW . Isolated dissecting aneurysm of the renal artery. J Urol 1986; 135: 998–999.
Beroniade V, Roy P, Froment D, Pison C . Primary renal artery dissection. Presentation of two cases and brief review of the literature. Am J Nephrol 1987; 7: 382–389.
Gewertz BL, Stanley JC, Fry WJ . Renal artery dissections. Arch Surg 1977; 112: 409–414.
Bumpus HC Jr . A case of renal hypertension. J Urol 1944; 52: 295–299.
Liebow IM, Cline T, Post RS, Persky L . Isolated bilateral simultaneous dissection of the renal arteries. Am J Med 1956; 21: 151.
Martin X, Salas M, Bouvier R, Ninet J, Gelet A, Dubernard JM . Extracorporeal repair of primary renal artery dissection. Eur Urol 1993; 24: 424–427.
Boughey JC, Gifford RR, Collins JB . Spontaneous renal artery dissection in a healthy man. J S C Med Assoc 2001; 97: 246–249.
Alamir A, Middendorf DF, Baker P, Nahman Jr NS, Fontaine AB, Hebert LA . Renal artery dissection causing renal infarction in otherwise healthy men. Am J Kidney Dis 1997; 30: 851–855.
Slavis SA, Hodge EE, Novick AC, Maatman T . Surgical treatment for isolated dissection of the renal artery. J Urol 1990; 144: 233–237.
Rao CN, Blaivas JG . Primary renal artery dissecting aneurysm: a review. J Urol 1977; 118: 716–719.
Muller BT, Reiher L, Pfeiffer T, Muller W, Hort W, Voiculescu A et al. Surgical treatment of renal artery dissection in 25 patients: indications and results. J Vasc Surg 2003; 37: 761–768.
Ramamoorthy SL, Vasquez JC, Taft PM, McGinn RF, Hye RJ . Nonoperative management of acute spontaneous renal artery dissection. Ann Vasc Surg 2002; 16: 157–162.
Dobrilovic N, Bennett S, Smith C, Edwards J, Luchette FA . Traumatic renal artery dissection identified with dynamic helical computed tomography. J Vasc Surg 2001; 34: 562–564.
Hasday JD, Sterns RH, Karch FE . Renal infarction due to renal artery dysplasia with dissection. Report of a case in a normotensive patient. Am J Med 1984; 76: 943–946.
Lacombe M . Isolated spontaneous dissection of the renal artery. J Vasc Surg 2001; 33: 385–391.
Bilge AK, Nisanci Y, Yilmaz E, Ozben B, Oncul A, Mercanoglu F et al. Renovascular hypertension secondary to spontaneous renal artery dissection and treatment with stenting. Int J Clin Pract 2003; 57: 435–436.
Englund GW . Primary dissecting aneurysm of the renal artery: report of a case and review of the literature. Am J Clin Pathol 1966; 45: 472–479.
Watson AJ . Dissecting aneurysms of arteries other than the aorta. J Pathol Bact 1956; 72: 439–449.
Henry L, Burke WD . Isolated dissecting aneurysm of the renal artery. Angiology 1963; 14: 269–276.
Rosenblum WI . Isolated dissecting aneurysm of the renal artery. J Urol 1966; 95: 135–138.
Smith BM, Holcomb III GW, Richie RE, Dean RH . Renal artery dissection. Ann Surg 1984; 200: 134–146.
Fields E, Stawicki SP, Balshi JD . Spontaneous renal artery dissection: a systematic approach to diagnosis and treatment. Am J Hypertens Suppl 2004; 17: 236A.
Nikulin A, Markovic B . Primary dissecting aneurysms of an interlobar renal arterty. Med Arch 1975; 29: 609–612.
Waron M, Gil I, Fogelfield L . Massive hematuria due to renal artery aneurysm. Harefuah 1983; 104: 92–94.
Edwards BS, Stanson AW, Holley KE, Sheps SG . Isolated renal artery dissection, presentation, evaluation, management, and pathology. Mayo Clin Proc 1982; 57: 564–571.
Mori H, Hayashi K, Tasaki T, Hori T, Yamasaki T, Amamoto Y . Spontaneous resolution of bilateral renal artery dissection: a case report. J Urol 1986; 135: 114–116.
Reilly LM, Cunningham CG, Maggisano R, Ehrenfeld WK, Stoney RJ . The role of arterial reconstruction in spontaneous renal artery dissection. J Vasc Surg 1991; 14: 468–477.
van Rooden CJ, van Baalen JM, van Bockel JH . Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation. J Vasc Surg 2003; 38: 116–122.
Hare WS, Kincaid-Smith P . Dissecting aneurysm of the renal artery. Radiology 1970; 97: 255.
Paul M, Bear RA . Dissecting aneurysm of renal artery. Reversible cause of high-renin hypertension. Urology 1984; 24: 483–484.
Eiberg JP, Lundorf E, Thomsen C, Schroeder TV . Peripheral vascular surgery and magnetic resonance arteriography – a review. Eur J Vasc Endovasc Surg 2001; 22: 396–402.
Hanninen EL, Denecke T, Stelter L, Pech M, Podrabsky P, Pratschke J et al. Preoperative evaluation of living kidney donors using multirow detector computed tomography: comparison with digital subtraction angiography and intraoperative findings. Transplant Int 2005; 18: 1134–1141.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42: 1206–1252.
August P . Initial treatment of hypertension. N Engl J Med 2003; 348: 610–617.
Losito A, Errico R, Santirosi P, Lupattelli T, Scalera GB, Lupattelli L . Long-term follow-up of atherosclerotic renovascular disease. Beneficial effect of ACE inhibition. Nephrol Dial Transplant 2005; 20: 1604–1609.
Yang JG, Hu D, Li T, Peng J, Yu H, Pang W et al. Angiotensin-converting enzyme inhibitor usage in patients with incidental atherosclerotic renal artery stenosis. Hypertens Res 2004; 27: 339–344.
Ahmed A . Use of angiotensin-converting enzyme inhibitors in patients with heart failure and renal insufficiency: how concerned should we be by the rise in serum creatinine? J Am Geriatr Soc 2002; 50: 1297–1300.
Heim P, Fernandez S, Nicholas V . Spontaneous renal artery dissection. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 1997; 167: 652–654.
Damaraju S, Krajcer Z . Successful Wallstent implantation for extensive iatrogenic renal artery dissection in a patient with fibromuscular dysplasia. J Endovasc Surg 1999; 6: 297–300.
Mudrick D, Arepally A, Geschwind JF, Ronsivalle JA, Lund GB, Scheel P . Spontaneous renal artery dissection: treatment with coil embolization. J Vasc Interv Radiol 2003; 14: 497–500.
Mokri B, Stanson AW, Houser OW . Spontaneous dissection of renal arteries in a patient with previous spontaneous dissections of the internal carotid arteries. Stroke 1985; 16: 959–963.
About this article
Cite this article
Stawicki, S., Rosenfeld, J., Weger, N. et al. Spontaneous renal artery dissection: three cases and clinical algorithms. J Hum Hypertens 20, 710–718 (2006). https://doi.org/10.1038/sj.jhh.1002045
- spontaneous renal artery dissection
- diagnostic algorithm
- treatment algorithm
- systematic review
- case reports
- non-operative management
Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series
Journal of Cardiothoracic Surgery (2021)
Insights into Imaging (2020)
Journal of Nephrology (2017)
Journal of General Internal Medicine (2014)