[Anuria and recurrent pulmonary edema due to ischemic nephropathy successfully treated with surgical renal revascularization].
In a 61-year-old man, who had undergone left-sided nephrectomy in the past, and who came with anuria and recurrent pulmonary oedema, complete obstruction of the right renal artery was diagnosed. Recurrent pulmonary oedema may be a manifestation of ischaemic renal disease. This clinical entity is not rare and may lead to terminal renal insufficiency. Both surgery and angioplasty can preserve or improve renal function and make dialysis therapy unnecessary. In the patient described, the stenotic part of the renal artery was resected and the vessel connected to the aorta end to side; the patient recovered.
Afd. Inwendige Geneeskunde, Medisch Centrum, locatie Noord, Leeuwarden.
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Halma
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Leemans
D015901:Angiography, Digital Subtraction; D001002:Anuria / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods
Anurie en recidiverend longoedeem door ischemische nefropathie succesvol behandeld door chirurgische renale revascularisatie.