title: Large atrial septal aneurysm and delayed improvement of renal failure due to nephrotoxic drugs (and hemodialysis) in a diabetic patient.
abstract: Atrial septal aneurysm (ASA) is a well known morphologic abnormality and has been largely investigated with both transthoracic (TTE) and/or transesophageal echocardiography (TEE). Its association with other congenital and acquired heart diseases and midsystolic clicks has been reported. ASA also may be associated with an increased risk of embolic events. In many cases, it is an incidental finding. We describe a patient with acute renal failure associated with nephrotoxic drugs and ASA suggesting endocarditis.
authors.affiliation: Cukurova University, School of Medicine, Department of Cardiology, Adana, Turkey.
authors.forename: Esmeray
authors.initials: E
authors.lastname: Acartürk
authors.forename: Saime
authors.initials: S
authors.lastname: Paydaş
authors.forename: Ferit
authors.initials: F
authors.lastname: Akgül
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000150:complications* / Q000000981:diagnostic imaging; D000583:Amikacin / Q000009:adverse effects* / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000000981:diagnostic imaging; D004696:Endocarditis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D014463:Ultrasonography; D014640:Vancomycin / Q000009:adverse effects* / Q000627:therapeutic use*
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D000583:Amikacin