ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Reversible diffuse arterial spasm in a patient with primary oxalosis
Umut Özyer1, Tankut Hakkı Akay2, Fatih Boyvat1
1Department of Radiology, Medicine Faculty of Başkent University, Ankara, Turkey
2Department of Cardiovascular Surgery, Medicine Faculty of Başkent University, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.4076
In this article, we report a 22-year-old female case with primary oxalosis type 1 who was admitted with ischemic lower extremities. The arteriogram revealed diffuse arterial narrowing involving the abdominal aorta, iliac arteries and lower limb arteries. Continuous nitroprusside infusion resulted in immediate relief of ischemic symptoms. She was put on nifedipine treatment which resulted in improved walking ability and increased vascular calibration on her follow-up. The instant onset of action and rapid improvement of symptoms recommend nitroprusside trial in oxalosis patients with vascular symptoms.
Keywords : Arterial vasoconstriction; blood vessels; nifedipine; nitroprusside; oxalosis
Viewed : 8565
Downloaded : 1883