[Bilateral renal artery stenosis--a cause of acute pulmonary edema].
BACKGROUND
Renal artery stenosis may present as acute pulmonary oedema and be misinterpreted as congestive heart failure. ACE inhibitors and angiotensin-II antagonists are widely used among patients with congestive heart failure and hypertension.


METHODS
The authors present a patient with congestive heart failure caused by a combination of coronary heart disease and bilateral renal artery stenosis. The patient developed acute kidney failure secondary to ACE inhibitor and angiotensin II antagonist treatment.


RESULTS
Mechanisms behind pulmonary oedema secondary to renovascular hypertension are discussed.


CONCLUSIONS
Revascularisation is the treatment of choice for this patient category.
Høieggen
A
A
Nyremedisinsk avdeling Medisinsk divisjon Ullevål sykehus 0407 Oslo. aud.hoieggen@ioks.uio.no
Draganov
B
B
Os
I
I
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000150:complications; D000328:Adult; D000804:Angiotensin II / Q000037:antagonists & inhibitors; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000008:administration & dosage / Q000009:adverse effects; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000009:adverse effects; D003937:Diagnosis, Differential; D004656:Enalapril / Q000008:administration & dosage / Q000009:adverse effects; D006333:Heart Failure / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D006978:Hypertension, Renovascular / Q000150:complications; D008297:Male; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology*; D012078:Renal Artery Obstruction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
D000806:Angiotensin-Converting Enzyme Inhibitors; D000959:Antihypertensive Agents; D000804:Angiotensin II; D004656:Enalapril