Abdullah I Aedh, Hyder A Omar,
Renal artery Stenosis is narrowing or blockag e of the artery that supplies blood to the kidneys. It is caused by atherosclerosis, fibr omuscular dysplasia of the renal arterial wal l, or scar formation in artery. Renal artery stenosi s may result in accelerated and /or poorly c ontrol hypertension, deterioration or loss renal functio n and recurrent pulmonary edema. Identification and management of patient with renal artery stenosis i s difficult. We report a case of middle aged man who had frequent admissions with high blood pressur e, throbbing headache, pulmonary edema and chest pain. Diagnosis of bilateral renal artery ste nosis is confirmed by renal artery angioplasty and treated successfully with stent implantation. The p atient was discharged in good condition and improved blood pressure .