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A 73-year-old former smoker with a history of hypertension presents with shortness of breath. His blood pressure is 160/75 mm Hg, and his serum creatinine level is 1.4 mg per deciliter. Chest auscultation reveals diffuse rales. His condition improves with diuretics. Imaging shows a diseased aorta and a high-grade ostial lesion of the left renal artery. How should he be further evaluated and treated?
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Dworkin et al. (2009) studied this question.
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