Case 202

Medical history

36 year-old male patient, bearer of systemic hypertension and fibromuscular dysplasia of renal arteries, previously submitted to left renal artery angioplasty with Stent implant in 2004. He was admitted in an urgency service, reporting sudden and intense pain in his left side and iliac fossa. Upon internment, his serum creatinine levels were 1,9mg/dl and the following imaging exams were requested: renal artery angiography, static renal scintigraphy with Tc-99m DSMA and angiotomography.

Based on the clinical picture and the images, which one of the following is the best management?

Leave a Reply