Case Report
Acute Unilateral Renal Infarction in the Setting of an Inherited Thrombophilia and Atrial Septal Defect
Table 1
Case reports of renal infarction associated with paradoxical embolism in the setting of a patent foramen ovale.
| Study | Garachemani et al. | Iwasaki et al. | Jeong et al. | Ekinci et al. | Vilbert and Franciosa | Khoma et al. |
| Year of publication [Ref] | 2007 [12] | 2011 [13] | 2012 [14] | 2014 [15] | 2016 [16] | 2016 [17] |
| Renal (unilateral versus bilateral, side) | Unilateral, left side | Unilateral, right side | Unilateral, right side | Unilateral, left side | Unilateral, left side | Unilateral, left side |
| Venous thromboembolism detected | No investigations performed | No DVTs detected | No DVTs or PE detected | No investigations performed | No DVTs detected | No DVTs detected |
| Thrombophilia | No investigations performed | Negative screen | Negative screen | Negative screen | Prothrombin G20210A mutation | Negative screen |
| Other VTE risk factors | None | None | None | None | OCP | After bariatric surgery |
| Other organ involvement | Myocardial infarction | None | None | None | None | None |
| Anticoagulation | Oral anticoagulation type and duration unspecified | Secondary prevention with aspirin 100 mg daily | IV heparin | Enoxaparin 60 mg twice daily | IV heparin transitioned to warfarin, 6-month duration | Warfarin, 6-month duration |
| Device closure | Yes | Not specified | Planned | Not specified | Not planned | Planned |
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DVT: deep vein thrombosis; IV: intravenous; OCP: oral contraceptive pill; PE: pulmonary embolism.
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