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. 2010 Jan;40(1):42-5.
doi: 10.4070/kcj.2010.40.1.42. Epub 2010 Jan 27.

Flash pulmonary edema in a patient with unilateral renal artery stenosis and bilateral functioning kidneys

Hye Jin Noh  1 , Hyun Chul Jo, Ji Hyun Yang, Sang Min Kim, Hyun Jong Lee, Joon Hyuk Choi, Soo Hee Choi, Bong Geun Song, Yeon Hyeon Choe, Seung Hyuk Choi, Duk Kyung Kim, Dae Kyung Cho
Affiliations

Flash pulmonary edema in a patient with unilateral renal artery stenosis and bilateral functioning kidneys

Hye Jin Noh et al. Korean Circ J. 2010 Jan.

Abstract

Flash pulmonary edema typically exhibits sudden onset and resolves rapidly. It generally is associated with bilateral renal artery stenosis or unilateral stenosis in conjunction with a single functional kidney. We describe a patient who presented with flash pulmonary edema treated by percutaneous therapy with stent implantation. Our case is unique in that the flash pulmonary edema occurred in the setting of unilateral renal artery stenosis with bilateral functioning kidneys.

Keywords: Pulmonary edema; Renal artery obstruction; Stents.

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Figures

Fig. 1
Fig. 1
Chest radiograph demonstrates bilateral interstitial shadowing compatible with pulmonary edema (A) that subsided soon after admission (B).
Fig. 2
Fig. 2
Axial view (A) and volume rendering image (B) of CT angiography shows unilateral severe stenosis of the right renal artery beginning at its ostium.
Fig. 3
Fig. 3
The selective renal angiography reveals a 95% segmental ostial stenosis in the right renal artery (A) and demonstrates successful stent implantation (B). The follow-up CT angiography reveals no stenosis two months after the stent placement (C).
See this image and copyright information in PMC

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