Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect.
Siavash PiranSam SchulmanPublished in: Case reports in hematology (2017)
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.
Keyphrases
- atrial fibrillation
- autism spectrum disorder
- left atrial appendage
- catheter ablation
- left atrial
- oral anticoagulants
- attention deficit hyperactivity disorder
- direct oral anticoagulants
- heart failure
- intellectual disability
- liver failure
- percutaneous coronary intervention
- pulmonary embolism
- coronary artery disease
- early onset
- left ventricular
- transcription factor
- respiratory failure
- pulmonary artery
- intensive care unit
- drug induced
- pulmonary arterial hypertension
- newly diagnosed
- brain injury
- aortic dissection