Renal Embolism Associated with Foramen Ovale Coexisting Acute Pulmonary Embolism

Q4 Medicine Case Reports in Pulmonology Pub Date : 2023-12-06 DOI:10.1155/2023/6670080
Yanling He, Yi Xiao, Yanping Chen, Zhidong Li
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Abstract

We report a singular case of renal embolism in a hitherto healthy 46-year-old female. The patient initially presented with symptoms of exertional distress and chest discomfort. Following an extensive diagnostic workup, she was subsequently diagnosed with acute pulmonary embolism. On the day succeeding her admission, the patient manifested sustained abdominal discomfort. Abdominal computed tomography angiography (CTA) subsequently revealed the presence of renal artery embolisms and infarctions. Concurrently, an echocardiographic evaluation disclosed a patent foramen ovale (PFO) and pulmonary hypertension. In this specific case, we hypothesize that the embolic event traversed through the PFO, ultimately localizing in the renal artery and culminating in renal embolism.
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与卵圆孔并存的急性肺栓塞相关的肾栓塞
我们报告一例肾栓塞在一个迄今为止健康的46岁女性。患者最初表现为运动窘迫和胸部不适。经过广泛的诊断检查,她随后被诊断为急性肺栓塞。在她入院的第二天,病人表现出持续的腹部不适。腹部计算机断层血管造影(CTA)随后显示肾动脉栓塞和梗死的存在。同时,超声心动图评估显示卵圆孔未闭(PFO)和肺动脉高压。在这个特殊的病例中,我们假设栓塞事件穿过PFO,最终定位于肾动脉并最终导致肾栓塞。
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来源期刊
Case Reports in Pulmonology
Case Reports in Pulmonology Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.80
自引率
0.00%
发文量
23
审稿时长
13 weeks
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