Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect

We present a case of renal infarction in a 43-year-old female with history of stroke at age 14. She was found to be heterozygous for the prothrombin G20210A gene mutation. Loop monitoring revealed no atrial fibrillation. Transthoracic and transesophageal echocardiograms showed no thrombus. However,...

Descripción completa

Detalles Bibliográficos
Autores principales: Piran, Siavash, Schulman, Sam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591998/
https://www.ncbi.nlm.nih.gov/pubmed/28928995
http://dx.doi.org/10.1155/2017/3159363
_version_ 1783262828516343808
author Piran, Siavash
Schulman, Sam
author_facet Piran, Siavash
Schulman, Sam
author_sort Piran, Siavash
collection PubMed
description We present a case of renal infarction in a 43-year-old female with history of stroke at age 14. She was found to be heterozygous for the prothrombin G20210A gene mutation. Loop monitoring revealed no atrial fibrillation. Transthoracic and transesophageal echocardiograms showed no thrombus. However, there was a small shunt due to an atrial septal defect (ASD). She was treated with warfarin and had device closure of her ASD. This was a suspected case of paradoxical embolism through an ASD leading to renal infarction.
format Online
Article
Text
id pubmed-5591998
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-55919982017-09-19 Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect Piran, Siavash Schulman, Sam Case Rep Hematol Case Report We present a case of renal infarction in a 43-year-old female with history of stroke at age 14. She was found to be heterozygous for the prothrombin G20210A gene mutation. Loop monitoring revealed no atrial fibrillation. Transthoracic and transesophageal echocardiograms showed no thrombus. However, there was a small shunt due to an atrial septal defect (ASD). She was treated with warfarin and had device closure of her ASD. This was a suspected case of paradoxical embolism through an ASD leading to renal infarction. Hindawi 2017 2017-08-27 /pmc/articles/PMC5591998/ /pubmed/28928995 http://dx.doi.org/10.1155/2017/3159363 Text en Copyright © 2017 Siavash Piran and Sam Schulman. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Piran, Siavash
Schulman, Sam
Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title_full Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title_fullStr Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title_full_unstemmed Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title_short Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
title_sort acute unilateral renal infarction in the setting of an inherited thrombophilia and atrial septal defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591998/
https://www.ncbi.nlm.nih.gov/pubmed/28928995
http://dx.doi.org/10.1155/2017/3159363
work_keys_str_mv AT piransiavash acuteunilateralrenalinfarctioninthesettingofaninheritedthrombophiliaandatrialseptaldefect
AT schulmansam acuteunilateralrenalinfarctioninthesettingofaninheritedthrombophiliaandatrialseptaldefect

Ejemplares similares