# First Selective Renal Angiogram in a Nigerian With Flash Pulmonary Edema and Suspected Renal Artery Stenosis

## TL;DR

This paper describes the first selective renal angiogram in Nigeria, used to diagnose a patient with severe heart and kidney issues.

## Contribution

The novelty lies in reporting the first selective renal angiogram in Nigeria for diagnosing renal artery stenosis.

## Key findings

- Selective renal angiogram was successfully performed in a Nigerian patient with suspected renal artery stenosis.
- The patient was diagnosed with multi-vessel coronary artery disease and treated with bypass surgery.
- The case highlights the importance of multidisciplinary care in managing complex cardiovascular and renal conditions.

## Abstract

To the best of our knowledge, we report the first selective renal angiogram performed in Nigeria. The patient presented with sudden-onset shortness of breath, elevated blood pressure, flash pulmonary edema, and left ventricular systolic dysfunction and was eventually found to have multi-vessel coronary artery disease, managed surgically with coronary artery bypass grafting. This report illustrates the technique of performing selective renal angiogram, particularly in cases of suspected renal artery stenosis, and underscores the significance of a multidisciplinary approach in optimizing patient outcomes.