The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2006;71(3):322-327.
증례:신동맥협착증 환자에서 신동맥 우회재건술 후에 재발한 급성 폐부종 1예
오숙의, , , ,
A case of recurrent flash pulmonary edema after renal artery bypass graft in renal artery stenosis
Sook Eui Oh, Young Ki Lee, Hae Ri Lee, Jeong Woo Noh, Sang Joon Shin
고려대학교 의과대학 내과학교실


Abstract
Renal artery stenosis is a rare cause of acute pulmonary edema. So-called flash pulmonary edema is associated with bilateral renal artery stenosis or stenosis in a single functioning kidney. Flash pulmonary edema has been recognized as an absolute indication for vascular intervention. A 33-year old man was admitted with acute shortness of breath. Renal angiography showed occlusion of the right renal artery. He underwent a right renal artery bypass graft. However, after the renal artery bypass graft, episodes of pulmonary edema recurred. A renal angiography showed complete obstruction of the right renal artery and bypass graft. The left renal angiography showed an intact renal artery and decreased kidney size.(Korean J Med 71:322-327, 2006) Key Words : Pulmonary edema, Renal artery occlusion

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