Sinus of Valsalva thrombosis causing renal infarction.
A 72-year-old man was admitted to our hospital with a renal infarction. On admission, computed tomography (CT) of the abdomen revealed total occlusion of the right renal artery, which was found to be recanalized with residual thrombus 7 days later. Transesophageal echocardiography and chest CT demonstrated crescent-shaped thrombus in the non-coronary sinus of Valsalva without evidence of aneurysm. After coumadin treatment the patient did not experience recurrent episodes of systemic embolization. Five months after the initiation of anticoagulation, transesophageal echocardiography and chest CT demonstrated disappearance of the thrombus. This is a rare case of renal infarction caused by a thrombus in the non-coronary sinus of Valsalva without aneurysm.
Nakata
Akio
A
Division of Internal Medicine, Kurobe Municipal Hospital, Kurobe, Toyama.
Yoshizawa
Hisashi
H
Hirota
Satoshi
S
Takazakura
Eisuke
E
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D011859:Radiography; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000473:pathology*; D013923:Thromboembolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
D000925:Anticoagulants