Nephrotic syndrome and recurrent pulmonary oedema in bilateral atherosclerotic renal artery stenosis: resolution following renal angioplasty and stenting.
Hypertension and episodic pulmonary oedema are known complications of bilateral renovascular disease. However, significant proteinuria has not been reported in this setting. We describe a patient who presented with recurrent pulmonary oedema and nephrotic syndrome, and was found to have bilateral renal artery stenosis. Percutaneous angioplasty and stenting led to a complete resolution of both, confirming a causal relationship. This is perhaps the first report documenting the rare combination of nephrotic syndrome and flash pulmonary oedema due to bilateral renal artery stenosis.
Bali
Harinder K
HK
Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Jha
Vivekanand
V
D000800:Angioplasty, Balloon; D005260:Female; D006801:Humans; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000209:etiology / Q000628:therapy*; D011654:Pulmonary Edema / Q000209:etiology / Q000628:therapy*; D012008:Recurrence; D012078:Renal Artery Obstruction / Q000150:complications* / Q000473:pathology; D015607:Stents