First Selective Renal Angiogram in a Nigerian With Flash Pulmonary Edema and Suspected Renal Artery Stenosis.

To the best of our knowledge, we report the first selective renal angiogram performed in Nigeria. The patient presented with sudden-onset shortness of breath, elevated blood pressure, flash pulmonary edema, and left ventricular systolic dysfunction and was eventually found to have multi-vessel coronary artery disease, managed surgically with coronary artery bypass grafting. This report illustrates the technique of performing selective renal angiogram, particularly in cases of suspected renal artery stenosis, and underscores the significance of a multidisciplinary approach in optimizing patient outcomes.