양측성 신동맥 협착증에서 발생한 급성 비대상성 심부전과 급성 신손상

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...

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Veröffentlicht in:Yeungnam University Journal of Medicine 2015, Vol.32 (2), p.146-151
Hauptverfasser: 정호진, 최원석, 강현재, 정병천, 이봉렬, 이종주, 이준영, Jung, Ho Jin, Choi, Won Suk, Kang, Hyun Jae, Jung, Byung Chun, Lee, Bong Ryeol, Lee, Jong Joo, Lee, Jun-Young
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Sprache:kor
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Zusammenfassung: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.
ISSN:1225-7737
2384-0293