Fibromuscular dysplasia (FMD) is a noninflammatory, nonatherosclerotic disease of the vascular system, that can affect intima, media, or adventitia. The dysplasia in these layers leads to decrease in the lumen and increased turbulence leading to diminished flow through the affected portion. The treatment of FMD thus far has been either surgical and/or interventional. The authors describe a patient who presented with painful digits and who was found to have bilateral brachial artery FMD and was treated with balloon angioplasty with complete resolution of symptoms.
Kessler M:[Fibromuscular dysplasia of the brachial artery (author’s translation).]Radiologe22:185-187, 1982.
3.
Olson LA, Faber DB, LeMar JV, et al: Fibromuscular hyperplasia of the brachial artery—failure of calcium antagonist therapy. Angiology35:790-796, 1984.
4.
Esfahani F, Rooholamini SA, Azadeh B, et al: Arterial fibrodysplasia: A regional cause of peripheral occlusive vascular disease. Angiology40:108-113, 1989.
5.
Luscher TF, Keller HM, Imhof HG, et al: Fibromuscular hyperplasia: Extension of the disease and therapeutic outcome. Results of the University Hospital Zurich Cooperative Study on Fibromuscular Hyperplasia. Nephron44:109-114, 1986.
6.
Lin WW, McGee GS, Patterson BK, et al: Fibromuscular dysplasia of the brachial artery: A case report and review of the literature. J Vasc Surg16:66-70, 1992.
7.
Shipolini AR, Wolfe JH:Fibromuscular dysplasia and aneurysm formation in the brachial artery. Eur J Vasc Surg7:740-743, 1993.
Cheu HW, Mills JL:Digital artery embolization as a result of fibromuscular dysplasia of the brachial artery. J Vasc Surg14:225-228, 1991.
10.
Vuong PN, Desoutter P, Van T, et al: [Arterial fibromuscular dysplasia unveiled by a traumatic false aneurysm: A case report.]J Mal Vasc24:377-380, 1999.
11.
Suzuki H, Daida H, Sakurai H, et al: Familial fibromuscular dysplasia of bilateral brachial arteries. Heart82:251-252, 1999.
12.
Ciocca RG, Madson DL, Wilkerson DK, et al: Fibromuscular dysplasia of the brachial artery: An endovascular approach. Am Surg61:161-164, 1995.
13.
Iwai T, Konno S, Hiejima K, et al: Fibromuscular dysplasia in the extremities. J Cardiovasc Surg (Torino)26:496-501, 1985.
Haueisen H, Stierli P, Roeren T:[Fibromuscular dysplasia of the brachial artery—2 case reports and review of the literature.]Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr170:119-122, 1999.
Rosenberger A, Adler O, Lichtig H:Angiographic appearance of the renal vein in a case of fibromuscular dysplasia of the artery. Radiology118:579-580, 1976.
18.
George B, Zerah M, Mourier KL, et al: Ruptured intracranial aneurysms. The influence of sex and fibromuscular dysplasia upon prognosis. Acta Neurochir97:26-30, 1989.
19.
Lie JT, Hayes CW, Feintuch TA:Congenital brachial artery aneurysm in an infant—a case report. Angiology39:40-44, 1988.
20.
Cabellon S Jr, Gaines TG, Monsivais JJ, et al: Brachial artery mycotic aneurysms: Complication of cardiac catheterization. Mil Med151:54-56, 1986.
21.
Mettenger KL:Fibromuscular dysplasia and brain. II. Current concept of the disease. Stroke13:53-58, 1982.
22.
de Mendonca WC, Espat PA:Pheochromocytoma associated with arterial fibromuscular dysplasia. Am J Clin Pathol75:749-754, 1981.
23.
Perry MO: Fibromuscular dysplasia. Surg Gynecol Obstet139:97-104, 1974.
24.
Harrison EG Jr, McCormack LJ: Pathologic classification of renal arterial disease in renovascular hypertension. Mayo Clin Proc46:161-167, 1971.
25.
McCormack LJ, Poutasse EF, Meaney TF, et al: A pathologic-arteriographic correlation of renal arterial disease. Am Heart J72:188-198, 1966.
26.
Ouchi Y, Tagawa H, Yamakado M, et al: Clinical significance of cerebral aneurysm in renovascular hypertension due to fibromuscular dysplasia: Two cases in siblings. Angiology40:581-588, 1989.
27.
Halpern MM, Sanford HS, Viamonte M Jr: Renal-artery abnormalities in three hypertensive sisters. Probable familial fibromuscular hyperplasia. JAMA194:512-513, 1965.
28.
Plagnol P, Gillet JM, Cambuzat JM, et al: [Familial reno-vascular hypertension (author’s translation).]J Radiol Electrol Med Nucl56:173-174, 1975.
29.
Rushton AR:The genetics of fibromuscular dysplasia. Arch Intern Med140:233-236, 1980.
Stanley JC, Gewertz BL, Bove EL, et al: Arterial fibrodysplasia. Histopathologic character and current etiologic concepts. Arch Surg110:561-566, 1975.
32.
Nakata Y, Kamiya K:An experimental study on the vascular lesions caused by obstruction of the vaso vasorum. II. Special consideration on the deposition of fat into vascular wall. Jpn Circ J34:1029-1034, 1970.
33.
Kelly TF Jr, Morris GC Jr: Arterial fibromuscular disease. Observations on pathogenesis and surgical management. Am J Surg143:232-236, 1982.