Case report: Renal infarction by paradoxical embolism through the patent foramen ovale as an unusual cause of post-operative abdominal pain after sleeve gastrectomy

Khoma, Oleksandr; Suppiah, Aravind; Martín, David

doi:10.1016/j.ijscr.2016.06.047

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…There are several case reports of paradoxical embolism causing renal infarction through a PFO in presence or absence of a thrombophilia ( Table 1 ) [ 12 – 17 ]. However, to our knowledge, this is the first report of a renal infarction due to paradoxical embolism in the setting of an ASD and thrombophilia.…”

Section: Discussionmentioning

confidence: 99%

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

Piran

Schulman

2017

Case Reports in Hematology

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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.

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Section: Discussionmentioning

confidence: 99%

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

Piran

Schulman

2017

Case Reports in Hematology

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“…Recent debates focus on its closure in cryptogenic stroke in young patients. Some reports describe other probably paradoxical cardioembolic events (renal, splenic) that may be benefited by patent foramen ovale closure [5,6].…”

Section: Introductionmentioning

confidence: 99%

Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication

Lamas¹,

Osti²

2020

Case Reports in Cardiology

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Background. Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging work-up revealed splenic infarction. Common etiologies were excluded. A transesophageal echocardiography (TEE) revealed a patent foramen ovale (PFO). The patient was sent to closure with good outcome. Conclusion. Paradoxical embolism due to PFO can be a cause of splenic infarction, and its investigation and subsequent closure may be considered when there are no other causative disorders.

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Case report: Renal infarction by paradoxical embolism through the patent foramen ovale as an unusual cause of post-operative abdominal pain after sleeve gastrectomy

Abstract: HighlightsFirst report of renal infarct via patent foramen ovale following bariatric surgery.Up to date recommendations on work-up and management of patent foramen ovale discussed.Presentation includes radiologic images.

Cited by 2 publications

References 11 publications

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

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

Patent Foramen Ovale Closure for Splenic Infarction: An Unusual Presentation and an Unusual Indication

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