Familial fibromuscular dysplasia of the mesenteric arteries

We have reported the case of a critically ill 17-year-old girl who had an evolving gastrointestinal infarction when she came to our institution 11 months before she died. After surgical revascularization, biopsy of the superior mesenteric artery showed FMD. We interviewed and examined all close cons...

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Veröffentlicht in:Southern medical journal (Birmingham, Ala.) Ala.), 1987-10, Vol.80 (10), p.1311-1316
Hauptverfasser: Meacham, P W, Brantley, B
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creator Meacham, P W
Brantley, B
description We have reported the case of a critically ill 17-year-old girl who had an evolving gastrointestinal infarction when she came to our institution 11 months before she died. After surgical revascularization, biopsy of the superior mesenteric artery showed FMD. We interviewed and examined all close consanguineous relatives and found abdominal bruits in the patient's younger sister and mother. Arteriograms showed total occlusion of the celiac and superior mesenteric arteries in the sister, and a subtotal celiac occlusion in the mother. Postprandial abdominal pain and constipation in the sister prompted elective mesenteric revascularization, and biopsy of the superior mesenteric artery confirmed FMD identical to that of her older sister. The mother, who is asymptomatic, has single vessel disease and has not required operative intervention. Our report strongly supports the hypothesis of a genetic basis for this arteriopathy.
doi_str_mv 10.1097/00007611-198710000-00027
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identifier ISSN: 0038-4348
ispartof Southern medical journal (Birmingham, Ala.), 1987-10, Vol.80 (10), p.1311-1316
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subjects Adolescent
Adult
Arterial Occlusive Diseases - genetics
Celiac Artery - diagnostic imaging
Cerebral Arterial Diseases - diagnostic imaging
Cerebral Arterial Diseases - genetics
Cerebral Arterial Diseases - pathology
Female
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnostic imaging
Fibromuscular Dysplasia - genetics
Fibromuscular Dysplasia - pathology
Humans
Intracranial Embolism and Thrombosis - etiology
Male
Mesenteric Arteries - diagnostic imaging
Mesenteric Arteries - pathology
Mesenteric Vascular Occlusion - diagnostic imaging
Mesenteric Vascular Occlusion - genetics
Mesenteric Vascular Occlusion - pathology
Radiography
title Familial fibromuscular dysplasia of the mesenteric arteries
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