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Yeungnam Univ J Med > Volume 32(2); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(2):146-151.
DOI: https://doi.org/10.12701/yujm.2015.32.2.146    Published online December 31, 2015.
Acute decompensated heart failure and acute kidney injury due to bilateral renal artery stenosis.
Ho Jin Jung, Won Suk Choi, Hyun Jae Kang, Byung Chun Jung, Bong Ryeol Lee, Jong Joo Lee, Jun Young Lee
Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. wons001@naver.com
Abstract
Atherosclerotic renal artery stenosis (RAS) may result in hypertension, azotemia, and acute pulmonary edema. We report on a renal angioplasty with stent placement for bilateral RAS in a patient with acute decompensated heart failure and acute kidney injury. A 67-year-old female patient was admitted to our hospital with acute shortness of breath and generalized edema. Echocardiography showed left ventricular wall motion abnormality and the follow up electrocardiography showed T wave inversion in the precordial leads. We performed a coronary angiography to differentiate ischemic heart disease from non-cardiac origin for the cause of the heart failure. The coronary angiography showed no significant luminal narrowing, but bilateral RAS was confirmed on the renal artery angiography, therefore, we performed renal artery revascularization. After the procedure, the pulmonary edema was improved and the serum creatinine was decreased. Two weeks later, an echocardiography showed improvement of the left ventricular systolic function.
Key Words: Systolic heart failure, Renovascular hypertension, Acute kidney injury, Renal artery obstruction
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