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,...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Hematology |
| Online Access: | http://dx.doi.org/10.1155/2017/3159363 |
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| _version_ | 1832545516956680192 |
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| author | Siavash Piran Sam Schulman |
| author_facet | Siavash Piran Sam Schulman |
| author_sort | Siavash Piran |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-7aac7310b89c41e280d59f35f55dd20d |
| institution | Kabale University |
| issn | 2090-6560 2090-6579 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hematology |
| spelling | doaj-art-7aac7310b89c41e280d59f35f55dd20d2025-02-03T07:25:31ZengWileyCase Reports in Hematology2090-65602090-65792017-01-01201710.1155/2017/31593633159363Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal DefectSiavash Piran0Sam Schulman1Department of Medicine, Division of Hematology and Thromboembolism and Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, ON, CanadaDepartment of Medicine, Division of Hematology and Thromboembolism and Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, ON, CanadaWe 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.http://dx.doi.org/10.1155/2017/3159363 |
| spellingShingle | Siavash Piran Sam Schulman Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect Case Reports in Hematology |
| 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 |
| url | http://dx.doi.org/10.1155/2017/3159363 |
| work_keys_str_mv | AT siavashpiran acuteunilateralrenalinfarctioninthesettingofaninheritedthrombophiliaandatrialseptaldefect AT samschulman acuteunilateralrenalinfarctioninthesettingofaninheritedthrombophiliaandatrialseptaldefect |