Anuric acute renal failure and pulmonary oedema: a case for urgent action.
Atherosclerotic renovascular disease (ARVD) is a common manifestation of atheromatous disease. Whilst it usually displays a chronic and asymptomatic course, it is increasingly recognised as playing a significant pathophysiological role in a number of clinical presentations. Anuric acute renal failure (ARF), due to thrombotic renal artery occlusion (RAO) or progression to critical narrowing, however, is a rare complication of this. We report a patient who presented with anuric ARF and pulmonary oedema secondary to bilateral renal artery disease (one chronic RAO, one highly critical renal artery stenosis (RAS)). She showed a good response to renal revascularisation with restoration of renal function, even when this was performed after six days of anuria.
Chrysochou
Constantina
C
Sinha
Smeeta
S
Chalmers
Nicholas
N
Kalra
Paul R
PR
Kalra
Philip A
PA
D058186:Acute Kidney Injury / Q000150:complications / Q000628:therapy*; D000368:Aged; D000800:Angioplasty, Balloon; D001002:Anuria / Q000209:etiology* / Q000628:therapy; D001161:Arteriosclerosis / Q000150:complications*; D004630:Emergencies; D005260:Female; D006801:Humans; D011654:Pulmonary Edema / Q000150:complications / Q000628:therapy*; D012078:Renal Artery Obstruction / Q000150:complications* / Q000628:therapy; D006435:Renal Dialysis