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

Abstract

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.

• Authors: Sehyun Jung, Seunghye Lee, Ha Nee Jang, Hyun Seop Cho, Se-Ho Chang, Hyun-Jung Kim
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 60 Issue 24 Pg. 3937-3940 (Dec 15 2021) ISSN: 1349-7235 [Electronic] Japan
• PMID: 34148965 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Kidney Injury
• Eisenmenger Complex (complications, diagnosis)
• Embolism, Paradoxical (complications, diagnosis)
• Heart Septal Defects, Ventricular (diagnostic imaging)
• Humans
• Infarction (diagnostic imaging, etiology)
• Male
• Middle Aged
• Pulmonary Embolism (diagnostic imaging, etiology)