%0 Case Reports
%T Bilateral renal artery revascularisation in heart failure.
%A Quilty F
%A Abel AAI
%A Clark AL
%J BMJ Case Rep
%V 17
%N 4
%D 2024 Apr 24
%M 38663899
暂无%R 10.1136/bcr-2023-256323
%X Renal artery stenosis can complicate the management of heart failure with reduced ejection fraction, as it is a conventional contraindication to the use of ACE inhibitors. We report a case in which bilateral renal artery revascularisation allowed the safe reintroduction of enalapril (and subsequently sacubitril valsartan) in a patient with severe left ventricular systolic dysfunction. There is a role for renal artery angioplasty in selected patients to allow optimal medical therapy for patients with heart failure due to impaired systolic function.