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KMID : 0882420060710030322
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Korean Journal of Medicine
2006 Volume.71 No. 3 p.322 ~ p.327
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A case of recurrent flash pulmonary edema after renal artery bypass graft in renal artery stenosis
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오숙의/Oh SE
이영기/이해리/노정우/신상준/Lee YK/Lee HR/Noh JW/Shin SJ
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Abstract
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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.
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