Bilateral Acute Renal Infarction Due to Paradoxical Embolism in a Patient with Eisenmenger Syndrome and a Ventricular Septal Defect

被引：3

作者：

Jung, Sehyun ^{[1
,2
]}

Lee, Seunghye ^{[1
,2
]}

Jang, Ha Nee ^{[1
,2
,3
]}

Cho, Hyun Seop ^{[1
,2
,3
]}

Chang, Se-Ho ^{[1
,2
,3
]}

Kim, Hyun-Jung ^{[1
,2
,3
]}

机构：

[1] Gyeongsang Natl Univ, Dept Internal Med, Coll Med, Jinju, South Korea

[2] Gyeongsang Natl Univ Hosp, Jinju, South Korea

[3] Gyeongsang Natl Univ, Inst Hlth Sci, Jinju, South Korea

来源：

INTERNAL MEDICINE | 2021年 / 60卷 / 24期

关键词：

renal infarction; pulmonary embolism; Eisenmenger syndrome; paradoxical embolism; PULMONARY THROMBOSIS; ADULTS; COAGULATION; SECONDARY; DISEASE;

D O I：

10.2169/internalmedicine.7549-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：3937 / 3940

页数：4

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