Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome
Abstract Leriche syndrome usually occurs when atherosclerotic obstructions result in luminal narrowing of the abdominal aorta or iliac arteries and leads to thrombosis; it rarely causes heart or renal failure. We report the case of a 58‐year‐old Asian man with heart and renal failure as the dominant...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-10-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.14069 |
| _version_ | 1797794311571505152 |
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| author | Sho Takagi Keisuke Hirano Akio Nakasu Junji Yanagisawa Yoshihiro Goto Yasuhide Okawa |
| author_facet | Sho Takagi Keisuke Hirano Akio Nakasu Junji Yanagisawa Yoshihiro Goto Yasuhide Okawa |
| author_sort | Sho Takagi |
| collection | DOAJ |
| description | Abstract Leriche syndrome usually occurs when atherosclerotic obstructions result in luminal narrowing of the abdominal aorta or iliac arteries and leads to thrombosis; it rarely causes heart or renal failure. We report the case of a 58‐year‐old Asian man with heart and renal failure as the dominant clinical manifestations of renovascular hypertension caused by Leriche syndrome. We performed an aorto‐bifemoral bypass and unilateral renal artery stenting. Post‐operative echocardiography showed improved cardiac function, with the left ventricular ejection fraction increasing from 30% before surgery to 54.2% after surgery. Moreover, his heart rate and blood pressure became stable, and his serum creatinine and brain natriuretic peptide levels decreased from 3.46 to 1.08 mg/dL and 685 to 4 pg/mL, respectively. Our case report shows that aorto‐bifemoral bypass and unilateral renal artery stenting can effectively treat heart and renal failure resulting from renovascular hypertension caused by Leriche syndrome. |
| first_indexed | 2024-03-13T03:00:53Z |
| format | Article |
| id | doaj.art-b0675a0e16f748e6a400744558c9d019 |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-03-13T03:00:53Z |
| publishDate | 2022-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-b0675a0e16f748e6a400744558c9d0192023-06-27T14:49:57ZengWileyESC Heart Failure2055-58222022-10-01953608361310.1002/ehf2.14069Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndromeSho Takagi0Keisuke Hirano1Akio Nakasu2Junji Yanagisawa3Yoshihiro Goto4Yasuhide Okawa5Department of Cardiovascular Surgery Toyohashi Heart Center Toyohashi JapanDepartment of Cardiology Toyohashi Heart Center Toyohashi JapanDepartment of Cardiovascular Surgery Toyohashi Heart Center Toyohashi JapanDepartment of Cardiovascular Surgery Toyohashi Heart Center Toyohashi JapanDepartment of Cardiovascular Surgery Toyohashi Heart Center Toyohashi JapanDepartment of Cardiovascular Surgery Toyohashi Heart Center Toyohashi JapanAbstract Leriche syndrome usually occurs when atherosclerotic obstructions result in luminal narrowing of the abdominal aorta or iliac arteries and leads to thrombosis; it rarely causes heart or renal failure. We report the case of a 58‐year‐old Asian man with heart and renal failure as the dominant clinical manifestations of renovascular hypertension caused by Leriche syndrome. We performed an aorto‐bifemoral bypass and unilateral renal artery stenting. Post‐operative echocardiography showed improved cardiac function, with the left ventricular ejection fraction increasing from 30% before surgery to 54.2% after surgery. Moreover, his heart rate and blood pressure became stable, and his serum creatinine and brain natriuretic peptide levels decreased from 3.46 to 1.08 mg/dL and 685 to 4 pg/mL, respectively. Our case report shows that aorto‐bifemoral bypass and unilateral renal artery stenting can effectively treat heart and renal failure resulting from renovascular hypertension caused by Leriche syndrome.https://doi.org/10.1002/ehf2.14069Leriche syndromeRenovascular hypertensionHeart failureRenal failureAorto‐bifemoral bypassRenal artery stenting |
| spellingShingle | Sho Takagi Keisuke Hirano Akio Nakasu Junji Yanagisawa Yoshihiro Goto Yasuhide Okawa Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome ESC Heart Failure Leriche syndrome Renovascular hypertension Heart failure Renal failure Aorto‐bifemoral bypass Renal artery stenting |
| title | Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome |
| title_full | Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome |
| title_fullStr | Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome |
| title_full_unstemmed | Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome |
| title_short | Revascularization for controlling hypertension and improving cardiorenal failure in Leriche syndrome |
| title_sort | revascularization for controlling hypertension and improving cardiorenal failure in leriche syndrome |
| topic | Leriche syndrome Renovascular hypertension Heart failure Renal failure Aorto‐bifemoral bypass Renal artery stenting |
| url | https://doi.org/10.1002/ehf2.14069 |
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