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KMID : 0359920080270030378
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Korean Journal of Nephrology
2008 Volume.27 No. 3 p.378 ~ p.382
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Acute Renal Failure Due to Severe Stenosis of Fibromuscular Dysplasia in a Single Kidney
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Kwon Kyung-A
Cho Seung
Kim Sung-Rok
Kim Jung-Hoon
Park Geon-Tae
Song Jun-Hwl
Lim Sang-Woo
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Abstract
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Among complications of fibromuscular dysplasia are uncontrolled hypertension, aneurysm and, albeit very rare, renal failure, especially in a single kidney. We report a case of severe stenosis of fibromuscular dysplasia leading to renal failure, in need of temporary hemodialysis in 29-year-old hypertensive woman. When she was 13-year-old, she underwent a left nephrectomy because of the left renal cyst and she was treated with antihypertensive medication for several years. A few day before admission, she complained of oliguria, generalized edema and aggravated dyspnea. On the day of admission, she took emergency hemodialysis. A renal angiogram showed focal irregular stenosis in the right proximal renal artery, compatible with fibromuscular dysplasia; therefore, we performed percutaneous renal artery angioplasty. Following successful renal angioplasty, her urine output increased and creatinine level was normalized.
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KEYWORD
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Fibromuscular dysplasia, Percutaneous transluminal angioplasty
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