A suspected case of paradoxical renal embolism through the patent foramen ovale
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Masaki Iwasaki Nobuhiko Joki Yuri Tanaka Hidehiko Hara Makoto Suzuki Hiroki Hase
- چاپ و سال / کشور: 2011
Description
We experienced a case of cryptogenic renal infarction in a previously healthy 60-year-old man. He had no systemic atherosclerotic changes. Holter monitoring revealed no atrial fibrillation. Transthoracic echocardiography showed no thrombus. Because the onset occurred while he was swinging a golf club (a similar maneuver to holding the breath), further examination was performed with a view to detecting paradoxical embolism through the foramen ovale. A positive bubble test with the Valsalva maneuver during transesophageal echocardiography led to the diagnosis of patent foramen ovale (PFO). This was a suspected case of paradoxical embolism through a PFO leading to renal infarction
Clin Exp Nephrol (2011) 15:147–150, Received: 2 July 2010 / Accepted: 15 September 2010 / Published online: 20 October 2010 Japanese Society of Nephrology 2010