Bilateral Acute Renal Infarction Due to Paradoxical Embolism in a Patient with Eisenmenger Syndrome and a Ventricular Septal Defect
| Autor: | Seunghye Lee, Hyun-Jung Kim, Se-Ho Chang, Sehyun Jung, Ha Nee Jang, Hyun Seop Cho |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Heart Septal Defects
Ventricular Male medicine.medical_specialty pulmonary embolism Flank pain Case Report renal infarction urologic and male genital diseases Paradoxical embolism Internal medicine Internal Medicine medicine Humans cardiovascular diseases business.industry Eisenmenger syndrome paradoxical embolism General Medicine Heparin Acute Kidney Injury Eisenmenger Complex Middle Aged medicine.disease Pulmonary embolism Infarction Cardiology Vomiting Azotemia medicine.symptom business Renal Infarct Embolism Paradoxical medicine.drug |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.7549-21 |
| Popis: | A 52-year-old man who was diagnosed with Eisenmenger syndrome due to a muscular-type ventricular septal defect 30 years previously, visited our emergency room after experiencing six hours of severe left flank pain and vomiting. On laboratory examination, azotemia and microscopic haematuria were identified. Contrast-enhanced computed tomography also revealed pulmonary embolism (PE) and bilateral acute renal infarction. The flank pain resolved after heparin was administered for anti-coagulation and aspiration thrombectomy was performed. The patient was discharged on warfarin as anticoagulant therapy. In this case, a paradoxical embolism was considered to have been the cause of PE and bilateral acute renal infarction in a patient with Eisenmenger syndrome. |
| Databáze: | OpenAIRE |
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