We report a case of acute kidney injury following extracorporeal shock wave lithotripsy. A 41-year-old man with diabetes mellitus had suffered from urinary difficulty after several treatments of ESWL, bilaterally. It was suspected that fragments of renal stones had caused an obstructive nephropathy with bilateral hydronephrosis. Fortunately, even without renal replacement therapy, renal function gradually returned.
Acute Kidney Injury ; Adult ; Diabetes Mellitus ; Humans ; Hydronephrosis ; Kidney Calculi ; Lithotripsy ; Renal Replacement Therapy ; Shock

We report a case of acute kidney injury following extracorporeal shock wave lithotripsy. A 41-year-old man with diabetes mellitus had suffered from urinary difficulty after several treatments of ESWL, bilaterally. It was suspected that fragments of renal stones had caused an obstructive nephropathy with bilateral hydronephrosis. Fortunately, even without renal replacement therapy, renal function gradually returned.
Acute Kidney Injury ; Adult ; Diabetes Mellitus ; Humans ; Hydronephrosis ; Kidney Calculi ; Lithotripsy ; Renal Replacement Therapy ; Shock

Retrograde dissection extending into the sinus of Valsalva is a rare complication during percutaneous coronary intervention. That may occur due to trauma to the ostium from catheter manipulation and may sometimes require surgical repair. A 50-year old male patient was admitted because of chest pain. During catheterization of the right coronary artery (RCA) after ergonovine test, we encountered coronary artery dissection with retrograde dissection of right sinus of Valsalva leading to RCA occlusion. Then we placed coronary artery stent (4.0x24 mm Driver stent) at right coronary artery ostium and his coronary blood flow of RCA was recovered and no further extension of dissection was observed. Here, we present a case of acute myocardial infarction which resulted from the acute dissection of the sinus of Valsalva with obstruction of the right coronary ostia by intimal flap during angiography.
Angiography ; Catheterization ; Catheters ; Chest Pain ; Coronary Angiography ; Coronary Vessels ; Ergonovine ; Humans ; Male ; Myocardial Infarction ; Percutaneous Coronary Intervention ; Sinus of Valsalva ; Stents

We report the case of a 77-year-old woman who developed complete atrioventricular (AV) block during an episode of thiazide-induced hyponatremia. She was taking hydrochlorothiazide to treat essential hypertension; she had no definite organic disease of the heart or lungs. Generally, the serum sodium concentration does not have a marked effect on cardiac conduction. However, we experienced a case of complete AV block associated with hyponatremia. This was treated successfully by correcting the electrolyte imbalance. Complete AV block associated with hyponatremia is very rare. To our knowledge, this is the first reported case in Korea.
Aged ; Atrioventricular Block ; Female ; Heart ; Humans ; Hydrochlorothiazide ; Hyponatremia ; Korea ; Lung ; Sodium