Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging

We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5(th) day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent...

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Autores principales: Negri, Francesco, Burelli, Massimo, Pagura, Linda, Sachs, Camilla, Imazio, Massimo, Sinagra, Gianfranco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819598/
https://www.ncbi.nlm.nih.gov/pubmed/36619769
http://dx.doi.org/10.4103/jcecho.jcecho_25_22
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author Negri, Francesco
Burelli, Massimo
Pagura, Linda
Sachs, Camilla
Imazio, Massimo
Sinagra, Gianfranco
author_facet Negri, Francesco
Burelli, Massimo
Pagura, Linda
Sachs, Camilla
Imazio, Massimo
Sinagra, Gianfranco
author_sort Negri, Francesco
collection PubMed
description We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5(th) day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI.
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spelling pubmed-98195982023-01-07 Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging Negri, Francesco Burelli, Massimo Pagura, Linda Sachs, Camilla Imazio, Massimo Sinagra, Gianfranco J Cardiovasc Echogr Case Report We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5(th) day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI. Wolters Kluwer - Medknow 2022 2022-11-16 /pmc/articles/PMC9819598/ /pubmed/36619769 http://dx.doi.org/10.4103/jcecho.jcecho_25_22 Text en Copyright: © 2022 Journal of Cardiovascular Echography https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Negri, Francesco
Burelli, Massimo
Pagura, Linda
Sachs, Camilla
Imazio, Massimo
Sinagra, Gianfranco
Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title_full Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title_fullStr Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title_full_unstemmed Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title_short Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging
title_sort paradoxical pulmonary embolism in a patient with bilateral renal infarction: the role of contrast-enhanced ultrasound imaging
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819598/
https://www.ncbi.nlm.nih.gov/pubmed/36619769
http://dx.doi.org/10.4103/jcecho.jcecho_25_22
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