Bilateral renal artery stenting in a case of mitral stenosis with atrial fibrillation
| Autor: | Ravindranath Khandenahally Shankarappa, Manjunath Cholenahally Nanjappa, Ramesh Dwarakaprasad, Srinivas Papaiah, Ravi S. Math, Satish Karur |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Kidney Percutaneous business.industry Atrial fibrillation medicine.disease Renovascular hypertension Stenosis Ostium medicine.anatomical_structure Internal medicine medicine.artery cardiovascular system medicine Cardiology cardiovascular diseases Right Renal Artery Renal artery business |
| Zdroj: | Journal of Indian College of Cardiology. 2:129-131 |
| ISSN: | 1561-8811 |
| DOI: | 10.1016/j.jicc.2012.06.003 |
| Popis: | Thromboembolism is a well-known complication of mitral stenosis especially when it is associated with atrial fibrillation. Renal artery embolism is uncommon and can remain undetected especially when it involves one kidney. We report the case of a 42-year-old female patient of severe mitral stenosis, atrial fibrillation and left atrial appendage clot who had systemic hypertension. After successful percutaneous mitral commissurotomy, a renal angiogram was done which revealed a right renal artery which was occluded from the ostium and a subtotally occluded left renal artery. Bilateral renal artery stenting was done in the same sitting. Her blood pressure normalized and it remains so after two follow-up visits without any anti-hypertensive medications. The possible etiologies for the occluded renal arteries are discussed followed by a brief review of the literature. |
| Databáze: | OpenAIRE |
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