Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report
Background: Undiagnosed and untreated atherosclerotic renal artery stenosis (ARAS) can result in end-stage kidney disease (ESKD). To obtain an accurate diagnosis, it is crucial to recognize the symptoms and signs suggesting renal artery stenosis (RAS) and perform appropriate diagnostic and treatment...
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2025-01-01
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| author | Marko Baralić Selena Gajić Aleksandra Kezić Ana Bontić Jelena Pavlović Voin Brković Vidna Karadžić Ristanović Danka Bjelić Maja Životić Sanja Radojević-Škodrić Želimir Antonić Nenad Ilijevski Milan Radović |
| author_facet | Marko Baralić Selena Gajić Aleksandra Kezić Ana Bontić Jelena Pavlović Voin Brković Vidna Karadžić Ristanović Danka Bjelić Maja Životić Sanja Radojević-Škodrić Želimir Antonić Nenad Ilijevski Milan Radović |
| author_sort | Marko Baralić |
| collection | DOAJ |
| description | Background: Undiagnosed and untreated atherosclerotic renal artery stenosis (ARAS) can result in end-stage kidney disease (ESKD). To obtain an accurate diagnosis, it is crucial to recognize the symptoms and signs suggesting renal artery stenosis (RAS) and perform appropriate diagnostic and treatment procedures afterward. Case Presentation: We present a case of a 60-year-old female patient with hypertensive crisis, acute heart failure (HF), and pulmonary edema as the initial signs of acute kidney injury (AKI) caused by right RAS and left renal artery occlusion in the presence of severe aortic atherosclerosis revealed on computed tomography angiography (CTA) of the abdomen. The patient’s renal function recovered completely following percutaneous transluminal angioplasty (PTA) with stent implantation in the right renal artery at the site of subocclusion. Conclusions: Even in patients with concomitant disorders like type-2 diabetes mellitus (T2DM), hypertension (HTN), or HF, the dilatation of significantly narrowed renal arteries due to severe calcifications can result in complete renal function recovery. |
| format | Article |
| id | doaj-art-2e742b782ed748bab7d1c82899e303dc |
| institution | Kabale University |
| issn | 2075-1729 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-2e742b782ed748bab7d1c82899e303dc2025-01-24T13:38:43ZengMDPI AGLife2075-17292025-01-011518210.3390/life15010082Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case ReportMarko Baralić0Selena Gajić1Aleksandra Kezić2Ana Bontić3Jelena Pavlović4Voin Brković5Vidna Karadžić Ristanović6Danka Bjelić7Maja Životić8Sanja Radojević-Škodrić9Želimir Antonić10Nenad Ilijevski11Milan Radović12Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Dr Subotića Starijeg 8, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Dr Subotića Starijeg 8, 11000 Belgrade, SerbiaInstitute of Cardiovascular Disease Dedinje, Department of Radiology, Heroja Milana Tepića 1, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Dr Subotića Starijeg 8, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaBackground: Undiagnosed and untreated atherosclerotic renal artery stenosis (ARAS) can result in end-stage kidney disease (ESKD). To obtain an accurate diagnosis, it is crucial to recognize the symptoms and signs suggesting renal artery stenosis (RAS) and perform appropriate diagnostic and treatment procedures afterward. Case Presentation: We present a case of a 60-year-old female patient with hypertensive crisis, acute heart failure (HF), and pulmonary edema as the initial signs of acute kidney injury (AKI) caused by right RAS and left renal artery occlusion in the presence of severe aortic atherosclerosis revealed on computed tomography angiography (CTA) of the abdomen. The patient’s renal function recovered completely following percutaneous transluminal angioplasty (PTA) with stent implantation in the right renal artery at the site of subocclusion. Conclusions: Even in patients with concomitant disorders like type-2 diabetes mellitus (T2DM), hypertension (HTN), or HF, the dilatation of significantly narrowed renal arteries due to severe calcifications can result in complete renal function recovery.https://www.mdpi.com/2075-1729/15/1/82acute kidney injuryhypertensiondiabetes mellitushemodialysishistopathologicalrenal artery stenosis |
| spellingShingle | Marko Baralić Selena Gajić Aleksandra Kezić Ana Bontić Jelena Pavlović Voin Brković Vidna Karadžić Ristanović Danka Bjelić Maja Životić Sanja Radojević-Škodrić Želimir Antonić Nenad Ilijevski Milan Radović Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report Life acute kidney injury hypertension diabetes mellitus hemodialysis histopathological renal artery stenosis |
| title | Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report |
| title_full | Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report |
| title_fullStr | Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report |
| title_full_unstemmed | Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report |
| title_short | Significant Calcification of an Entire Aortic Tree with Renal Artery Subocclusion: Acute Kidney Injury, Ischemic Kidney Disease, and the Tissue Viability Question—A Case Report |
| title_sort | significant calcification of an entire aortic tree with renal artery subocclusion acute kidney injury ischemic kidney disease and the tissue viability question a case report |
| topic | acute kidney injury hypertension diabetes mellitus hemodialysis histopathological renal artery stenosis |
| url | https://www.mdpi.com/2075-1729/15/1/82 |
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