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Flash Pulmonary Edema Heralding Renal Artery Stenosis

2002; Lippincott Williams & Wilkins; Volume: 105; Issue: 7 Linguagem: Inglês

10.1161/hc0802.101575

1524-4539

Shehzad Basaria, Herbert L. Fred,

Renal cell carcinoma treatment

HomeCirculationVol. 105, No. 7Flash Pulmonary Edema Heralding Renal Artery Stenosis Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBFlash Pulmonary Edema Heralding Renal Artery Stenosis Shehzad Basaria and Herbert L. Fred Shehzad BasariaShehzad Basaria From the Department of Internal Medicine, The University of Texas Health Science Center at Houston, Tex. and Herbert L. FredHerbert L. Fred From the Department of Internal Medicine, The University of Texas Health Science Center at Houston, Tex. Originally published19 Feb 2002https://doi.org/10.1161/hc0802.101575Circulation. 2002;105:899A 41-year-old woman was referred for evaluation of long-standing, poorly controlled systemic hypertension. Her medical records disclosed that she had suffered numerous bouts of pulmonary edema that always came on abruptly and resolved rapidly. Between these bouts, she was asymptomatic, and her only physical abnormality was the persistently elevated blood pressure. Her interim chest radiographs, echocardiograms, urinalyses, and serum creatinine concentrations were normal.These findings were diagnostic of so-called "flash" pulmonary edema, a potentially reversible condition frequently associated with occlusive disease of the renal arteries (usually both). We, therefore, obtained a magnetic resonance angiogram that showed bilateral renal artery stenosis (Figure 1). After angioplasty of the affected arteries and placement of stents therein (Figure 2), her blood pressure normalized. She has remained free of pulmonary edema for 3 years. Download figureDownload PowerPointFigure 1. Magnetic resonance angiogram showing bilateral renal artery stenosis (arrows).Download figureDownload PowerPointFigure 2. Digital subtraction angiogram showing renal arteries after angioplasty with stents in place (arrows).The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St.Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editoral Office, St.Luke's Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MCI-267, Houston, TX 77030.FootnotesCorrespondence to Dr Herbert L. Fred, 8181 Fannin, Suite 316, Houston, TX77054. eLetters(0)eLetters should relate to an article recently published in the journal and are not a forum for providing unpublished data. Comments are reviewed for appropriate use of tone and language. Comments are not peer-reviewed. Acceptable comments are posted to the journal website only. Comments are not published in an issue and are not indexed in PubMed. Comments should be no longer than 500 words and will only be posted online. References are limited to 10. Authors of the article cited in the comment will be invited to reply, as appropriate.Comments and feedback on AHA/ASA Scientific Statements and Guidelines should be directed to the AHA/ASA Manuscript Oversight Committee via its Correspondence page.Sign In to Submit a Response to This Article Previous Back to top Next FiguresReferencesRelatedDetailsCited By Abugroun A, Gonzalez M and Vilchez D (2018) Recurrent Pleural Effusion as a Result of Bilateral Renal Artery Stenosis. Does Renal Revascularization Help?, Clinical Medicine Insights: Case Reports, 10.1177/1179547618761378, 11, (117954761876137), Online publication date: 1-Jan-2018. Fenstad E and Kane G (2014) Cardiorenal Syndromes: Renal Artery Disease and Congestive Heart Failure Renal Vascular Disease, 10.1007/978-1-4471-2810-6_5, (83-101), . Liu S, Chen F, Qin Y and Zhao X (2013) Flash pulmonary edema and the diagnostic suspicion of Pickering syndromePlötzlich einsetzendes Lungenödem und die Verdachtsdiagnose Pickering-Syndrom, Herz, 10.1007/s00059-012-3727-5, 38:7, (738-739), Online publication date: 1-Nov-2013. An X, Jiang X, Dong H, Peng M, Zou Y, Song L, Guan T, Zhou X and Yang Y (2013) Fibromuscular Dysplasia Affecting a Two-Branched Renal Artery in a Patient With a Solitary Kidney: Case Presentation, Clinical Cardiology, 10.1002/clc.22149, 36:8, (E7-E10), Online publication date: 1-Aug-2013. van den Berg D, Deinum J, Postma C, van der Wilt G and Riksen N (2014) The efficacy of renal angioplasty in patients with renal artery stenosis and flash oedema or congestive heart failure: a systematic review, European Journal of Heart Failure, 10.1093/eurjhf/hfs037, 14:7, (773-781), Online publication date: 1-Jul-2012. Messerli F, Bangalore S, Makani H, Rimoldi S, Allemann Y, White C, Textor S and Sleight P (2011) Flash pulmonary oedema and bilateral renal artery stenosis: the Pickering Syndrome, European Heart Journal, 10.1093/eurheartj/ehr056, 32:18, (2231-2235), Online publication date: 2-Sep-2011. McMahon C, Hennessy M, Boyle G, Feely J and Meaney J (2010) Prevalence of renal artery stenosis in flash pulmonary oedema: Determination using gadolinium-enhanced MRA, European Journal of Internal Medicine, 10.1016/j.ejim.2010.04.003, 21:5, (424-428), Online publication date: 1-Oct-2010. de Mast Q and Beutler J (2009) The prevalence of atherosclerotic renal artery stenosis in risk groups: a systematic literature review, Journal of Hypertension, 10.1097/HJH.0b013e328329bbf4, 27:7, (1333-1340), Online publication date: 1-Jul-2009. Dziemianko I, Kuzniar J, Dorobisz A, Zynek-Litwin M, Garcarek J and Klinger M (2009) Critical Bilateral Renal Arterial Stenosis Presenting as Cardio-Renal Syndrome: Isolated Ultrafiltration Preceding Percutaneous Transluminal Revascularization, Congestive Heart Failure, 10.1111/j.1751-7133.2009.00052.x, 15:2, (96-98), Online publication date: 1-Mar-2009. de Silva R, Nikitin N, Bhandari S, Nicholson A, Clark A and Cleland J (2005) Atherosclerotic renovascular disease in chronic heart failure: should we intervene?, European Heart Journal, 10.1093/eurheartj/ehi304, 26:16, (1596-1605), Online publication date: 1-Aug-2005. Olin J (2003) Renal Artery Disease Atlas of Vascular Disease, 10.1007/978-1-4757-4564-1_4, (81-109), . Gray B, Olin J, Childs M, Sullivan T and Bacharach J (2016) Clinical benefit of renal artery angioplasty with stenting for the control of recurrent and refractory congestive heart failure, Vascular Medicine, 10.1191/1358863x02vm456oa, 7:4, (275-279), Online publication date: 1-Nov-2002. February 19, 2002Vol 105, Issue 7 Advertisement Article InformationMetrics https://doi.org/10.1161/hc0802.101575 Originally publishedFebruary 19, 2002 PDF download Advertisement