[A favourable outcome of combined treatment in a patient with renal artery embolism and atrial fibrillation].
Presented herein is a clinical case report regarding a patient who was found to have embolism of the right renal artery with accompanying atrial fibrillation. Open surgery is viewed as a method of choice amongst a variety of the available treatment modalities aimed at re-establishing renal blood supply impaired due to embolism of the renal artery trunk. This clinical example demonstrates a possibility of successful renal revascularization undertaken 72 hours after renal artery embolism. The decision to simultaneously perform a combined surgical intervention consisting of embolectomy from the bifurcation of the renal artery, thrombectomy from it branches, and finally followed by radiofrequency ablation of the cava-tricuspidal isthmus, turned out an appropriate therapeutic policy which yielded a patient-friendly immediate outcome as well as favourable remote results persisting over time.
Ivanov
L N
LN
Medvedev
A P
AP
Nemirova
S V
SV
Kosonogov
A Ia
AIa
D000792:Angiography; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D015716:Electrocardiography, Ambulatory; D017128:Embolectomy / Q000379:methods*; D004617:Embolism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D012077:Renal Artery