Vasc Spec Int.
2024 Jun;40(2):21. 10.5758/vsi.240022.
Vacuum-Assisted Thrombo-Aspiration for Paradoxical Embolism in Left Renal Artery: A Case Report and Literature Review
- Diamantopoulos-Kogkas D
1 - Georgiou P2
- Pitros C2
- Papageorgopoulou C2
- Papasotiriou M3
- Karydis N4
- Koutsoyiannis N5
- Mougiou A6
- Katsanos K7
- Papadoulas S2
- Affiliations
-
- 1Departments of Surgery, University General Hospital of Patras, Patras, Greece
- 2Departments of Vascular Surgery, University General Hospital of Patras, Patras, Greece
- 3Departments of Nephrology and Kidney Transplantation, University General Hospital of Patras, Patras, Greece
- 4Department of Transplantation Surgery, Department of Surgery, University General Hospital of Patras, Patras, Greece
- 5Department of Cardiology, University General Hospital of Patras, Patras, Greece
- 6Division of Thrombophilic Disorders, Department of Haematology, University General Hospital of Patras, Patras, Greece
- 7Department of Interventional Radiology, University General Hospital of Patras, Patras, Greece
- KMID: 2557693
- DOI: http://doi.org/10.5758/vsi.240022
Abstract
- Paradoxical embolism through the foramen ovale is a rare and devastating event requiring urgent treatment. Herein, we present the case of a 23-year-old male who presented with a pulmonary embolism complicated by a left renal artery paradoxical embolism. Urgent vacuum-assisted thrombo-aspiration restored normal perfusion of the left kidney within 5 hours. The patient had a patent foramen ovale and heterozygous thrombophilia. However, a radioisotopic scan performed 2 years later revealed an unexpected decrease in left renal perfusion. Therefore, despite the angiographic success, functional evaluation using a renal scan should be performed to assess renal function.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Paradoxical Renal Embolism through Patent Foramen Ovale
- A Case of Impending Paradoxical Embolus in a Patient with Acute Pulmonary Embolism
- A Case of Cryptogenic Stroke Associated with Patent Foramen Ovale Coexisting with Pulmonary Embolisms, Deep Vein Thromboses, and Renal Artery Infarctions
- Renal infarction caused by paradoxical embolism through a patent foramen ovale
- Paradoxical Air Embolism during Percutaneous Nephrolithotomy: A Case Report
