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Renal artery stenosis in a patient with Leriche syndrome
  1. Soo Ryeong Ryoo1,
  2. Yoo Sun Hong2,
  3. Jinoo Kim3,
  4. Inwhee Park1
  1. 1Department of Nephrology, Ajou University School of Medicine, Suwon, The Republic of Korea
  2. 2Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, The Republic of Korea
  3. 3Department of Radiology, Ajou University School of Medicine, Suwon, The Republic of Korea
  1. Correspondence to Dr Inwhee Park, Department of Nephrology, Ajou University School of Medicine, Suwon 443-729, The Republic of Korea; inwhee{at}aumc.ac.kr

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Case

A 54-year-old male patient was admitted to our hospital due to intermittent claudication of the lower extremities and impotence for 6 months. He was a 80-pack-year smoker. On physical examination, abdominal bruits were on the left periumbilical area. He had uncontrolled systolic blood pressure (190–220 mm Hg), on medication consisting of nifedipine modified release tablets 120 mg/day and carvedilol 50 mg/day. His blood analysis revealed slightly increased serum creatinine (1.5 mg/dL). A captopril renal scintigraphy showed hypofunction in the right kidney and delayed parenchymal transit …

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