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Heart and Vessels

, Volume 19, Issue 1, pp 52–54 | Cite as

Two episodes of anuria and acute pulmonary edema in a losartan-treated patient with solitary kidney

  • Ahmet Alper Kiykim
  • Murat Boz
  • Caner Özer
  • Ahmet Çamsari
  • Altan Yıldız
CASE REPORT

Abstract

Atherosclerotic renal artery stenosis (RAS) is an increasingly important cause of end-stage kidney disease, and may cause hypertension, progressive renal failure, and recurrent pulmonary edema. Herein, we report two episodes of anuria and acute pulmonary edema associated with losartan treatment in a hypertensive patient with preexisting severe renal artery stenosis in a solitary kidney. After successful percutaneous renal balloon angioplasty procedure, urine flow was started immediately, despite 10 days of anuria. Blood pressure measurements were still at acceptable levels with a low dose Β blocker, and serum creatinine levels were normal even after eight months. PTRA should be done in such patients, even with prolonged anuria. Physicians who recommend angiotensin receptor blockers in patients with RAS, especially in patients wih hypovolemia or a solitary kidney, should be careful about this complication.

Key words

Losartan Renal artery stenosis Anuria Renal angioplasty 

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Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Ahmet Alper Kiykim
    • 1
  • Murat Boz
    • 1
  • Caner Özer
    • 2
  • Ahmet Çamsari
    • 3
  • Altan Yıldız
    • 2
  1. 1.Department of Internal Medicine, Division of Nephrology, Faculty of MedicineUniversity of MersinMersinTurkey
  2. 2.Department of Radiology, Faculty of MedicineUniversity of MersinMersinTurkey
  3. 3.Department of Cardiology, Faculty of MedicineUniversity of MersinMersinTurkey

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