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KMID : 1103720140710020084
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Journal of the Korean Society of Radiology
2014 Volume.71 No. 2 p.84 ~ p.88
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Autosomal Dominant Polycystic Kidney Disease Combined with Intracranial Aneurysm and Dilated Cardiomyopathy: A Case Report
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Chung Bo-Mi
Chong Se-Min
Lee Wang-Soo
Hwang Sung-Nam
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Abstract
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Extrarenal manifestations of autosomal dominant polycystic kidney disease (ADPKD) include non-renal, various intracranial, and cardiac cysts. A 26-year-old man with presumed ADPKD was also diagnosed with hemoptysis and dyspnea. The chest radiograph and CT scans indicated bilateral consolidations, ground-glass opacities, and bilateral pleural effusions, indicating symptoms of pulmonary edema. Based on the systolic dysfunction, left atrial enlargement, and left ventricular enlargement by echocardiography, he was diagnosed with dilated cardiomyopathy (DCMP). On screening brain CT angiography, an intracranial aneurysm (ICA) was detected in the right middle cerebral artery. Although the reason of a strong connection between ADPKD and DCMP is still unclear apart from the connection between ADPKD and ICA, DCMP may be considered as another cardiovascular manifestation of ADPKD when idiopathic DCMP is diagnosed in a patient with ADPKD.
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KEYWORD
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Autosomal Dominant Polycystic Kidney Disease, Dilated Cardiomyopathy, Intracranial Aneurysm
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