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Case Reports in Cardiology
Volume 2015, Article ID 659306, 4 pages
http://dx.doi.org/10.1155/2015/659306
Case Report

Emergent Unilateral Renal Artery Stenting for Treatment of Flash Pulmonary Edema: Fact or Fiction?

1Cardiology Department, Massachusetts General Hospital, Boston, MA 02114, USA
2Interventional Cardiology Department, Cork University Hospital, Cork, Ireland
3Cork University Hospital, Cork, Ireland

Received 25 November 2014; Revised 8 January 2015; Accepted 12 February 2015

Academic Editor: Kenei Shimada

Copyright © 2015 Asaad Akbar Khan and Eugene Patrick McFadden. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Flash pulmonary edema is characteristically sudden in onset with rapid resolution once appropriate therapy has been instituted (Messerli et al., 2011). Acute increase of left ventricular (LV) end diastolic pressure is the usual cause of sudden decompensated cardiac failure in this patient population. Presence of bilateral renal artery stenosis or unilateral stenosis in combination with a single functional kidney in the susceptible cohort is usually blamed for this condition. We describe a patient who presented with flash pulmonary edema in the setting of normal coronary arteries. Our case is distinct as our patient developed flash pulmonary edema secondary to unilateral renal artery stenosis in the presence of bilateral functioning kidneys. Percutaneous stent implantation in the affected renal artery resulted in rapid resolution of pulmonary edema.