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.

StudyGarachemani et al.Iwasaki et al.Jeong et al.Ekinci et al. Vilbert and FranciosaKhoma 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 sideUnilateral, right sideUnilateral, right sideUnilateral, left sideUnilateral, left sideUnilateral, left side

Venous thromboembolism detectedNo investigations performedNo DVTs detectedNo DVTs or PE detectedNo investigations performedNo DVTs detectedNo DVTs detected

ThrombophiliaNo investigations performedNegative screenNegative screenNegative screenProthrombin G20210A mutationNegative screen

Other VTE risk factorsNoneNoneNoneNoneOCPAfter bariatric surgery

Other organ involvementMyocardial infarctionNoneNoneNoneNoneNone

AnticoagulationOral anticoagulation 
type and duration unspecified
Secondary prevention with aspirin 100 mg dailyIV heparinEnoxaparin 60 mg twice dailyIV heparin transitioned to warfarin, 6-month durationWarfarin, 6-month duration

Device closureYesNot specifiedPlannedNot specifiedNot plannedPlanned

DVT: deep vein thrombosis; IV: intravenous; OCP: oral contraceptive pill; PE: pulmonary embolism.