To the Editor: We report a case of asymptomatic dissection ofthe descending aorta (type B aortic dissection) with silentrenal hypoperfusion. A small, nonfunctioning kidney and a contralateralhypertrophied kidney were identified after symptomatic secondaryextension of the aortic dissection occurred. After endovasculartreatment, the reperfused kidney returned to a normal size andregained function, and the hypertrophy of the contralateralkidney regressed.
A 44-year-old man was admitted to the hospital for type B aorticdissection. Computed tomographic (CT) scanning showed patencyof the celiac, superior mesenteric, and right renal arteries,but hypoperfusion was present from dynamic compression of . . . [Full Text of this Article]
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