Yeungnam Univ J Med.  2015 Dec;32(2):146-151. 10.12701/yujm.2015.32.2.146.

Acute decompensated heart failure and acute kidney injury due to bilateral renal artery stenosis

• Jung HJ
• Choi WS
• Kang HJ
• Jung BC
• Lee BR
• Lee JJ
• Lee JY

• KMID: 2319918
• DOI: http://doi.org/10.12701/yujm.2015.32.2.146

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.

Keyword

Systolic heart failure; Renovascular hypertension; Acute kidney injury; Renal artery obstruction

MeSH Terms

Acute Kidney Injury*
Aged
Angiography
Angioplasty
Azotemia
Coronary Angiography
Creatinine
Dyspnea
Echocardiography
Edema
Electrocardiography
Female
Follow-Up Studies
Heart Failure*
Heart Failure, Systolic
Heart*
Humans
Hypertension
Hypertension, Renovascular
Myocardial Ischemia
Phenobarbital
Pulmonary Edema
Renal Artery Obstruction*
Renal Artery*
Stents
Creatinine
Phenobarbital