Fatal Nephropathy and Adrenal Necrosis after Translumbar Aortography

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Abstract
TRANSLUMBAR aortography has become an important diagnostic procedure in the study of occlusive disease of the lower aorta. Dos Santos,1 a Portuguese urologist, introduced the method clinically in 1929, and used it to study the kidney. More recently degenerative-disease patterns in the aorta and iliac vessels have been delineated, and the segmental nature of atherosclerosis in these large vessels established. With the development of operative procedures to improve these conditions (such as thrombendarterectomy, excision and grafts and shunts), the indications for aortography have increased.The earlier literature2 3 4 made little mention of untoward side effects, but in recent months the procedure . . .