Takotsubo cardiomyopathy in complicated Pickering syndrome: endovascular therapy of an occluded renal artery
A 62-year-old female patient was admitted to our hospital presenting with severe dyspnea and chest pain; no vegetative symptoms. Her medical history revealed chronic renal failure (K/DOQI III) and left nephrectomy 18 years before following renal cell carcinoma and hypertensive nephropathy. Moreover, there was hypertensive heart disease with a slightly reduced left-ventricular (LV) function [external echo: LV ejection fraction (EF) 45–50 % and diastolic dysfunction grade I]. The patient had repeatedly been hospitalized because of acute heart failure following hypertensive crises. In this context, on a CT angiography performed 6 months earlier an ostial stenosis of the right renal artery (RAS) had been described and considered irrelevant by the formerly treating institution. Her medications included low-dose aspirin, bisoprolol (10 mg), aliskiren (150 mg), amlodipine (10 mg), doxazosine (8 mg), moxonidine (0.8 mg), torasemid (20 mg) and pantozol (40 mg).
KeywordsRenal Artery Aliskiren Urapidile Torasemid Takotsubo Cardiomyopathy
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