A 62-year-old male patient, a known diabetic and hypertensive, developed flash pulmonary edema, underwent coronary and renal angiography. He was found to have left renal artery stenosis and underwent percutaneous transluminal angioplasty. Three weeks later, he developed acute kidney injury. Renal biopsy was done and atheroemboli was identified in an arteriole.
In May 2017, a 73-year-old male patient developed breathlessness. His echocardiography study showed global hypokinesia and ejection fraction of 45%. Cardiac angiogram was done and was started on aspirin. His creatinine increased from 1.7 mg/dl to 9.6 mg/dl. He was started on hemodialysis. He was diagnosed as having AERD by renal biopsy.