[Acute occlusion of the renal artery caused by an embolism of cardiac origin. Treatment by in situ thrombolysis].
An intra-arterial infusion of streptokinase successfully dissolved a large thrombus of the renal artery in a 54-year old male patient with old-standing mitral stenosis. This case illustrates the effectiveness of fibrinolysis in situ. This method provides complete arterial recanalization and preserves the renal function, thus enabling surgical embolectomy to be performed.
Camilleri
J F
JF
Centre cardiologique Cantini, Marseille.
Barragan
P
P
Massonat
J
J
Moyal
C
C
Jouve
B
B
Durand
C
C
Collet
F
F
Gérard
R
R
D000208:Acute Disease; D004617:Embolism / Q000150:complications*; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D013300:Streptokinase / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D013300:Streptokinase
Occlusion aiguë de l'artère rénale par une embolie d'origine cardiaque. Traitement par thrombolyse in situ.