The sudden onset of pulmonary edema in patients with renal artery sten
osis is an increasingly recognized entity. Some data also support an a
ssociation between renal artery stenosis and chronic cardiac failure.
We report a 60-year-old man with chronic renal failure who had most no
rmal arterial blood pressure despite highly severe chronic congestive
heart failure. Renovascular disease was suspected and an arteriography
revealed very tight bilateral artery stenosis. Removal of stenosis le
d to both renal and cardiac functions improvement.