Bilateral renal artery occlusion: an unusual presentation of atrial fibrillation and hypertrophic cardiomyopathy.
Hypertrophic cardiomyopathy predisposes patients to atrial fibrillation and the development of systemic embolization. We describe a rare case of bilateral renal artery thrombosis which presented as acute renal failure requiring dialysis. The patient was successfully treated with a selective, continuous infusion of urokinase which resulted in the return of adequate renal function.
Fu
G Y
GY
Department of Internal Medicine, Riverside Methodist Hospitals, Columbus, Ohio.
Candela
R J
RJ
Mishkind
M
M
Obarski
T
T
Yakubov
S J
SJ
D000328:Adult; D001281:Atrial Fibrillation / Q000503:physiopathology*; D002312:Cardiomyopathy, Hypertrophic / Q000503:physiopathology*; D006801:Humans; D008297:Male; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000503:physiopathology*; D012079:Renal Circulation / Q000502:physiology; D013927:Thrombosis / Q000503:physiopathology*