title: Renal paradoxical embolism in a hypertensive young adult without acute ischemic symptoms.
abstract: A 22-year-old woman, who often carried heavy books, was admitted for evaluation of hyperreninemic hypertension. Two months prior to admission, she noted leg edema. Radiological examinations revealed bilateral renal infarction with no other abnormal findings. An echocardiography showed a patent foramen ovale (PFO). Hypertension was considered secondary to renal infarction caused by paradoxical embolism through PFO. Antihypertensive and anticoagulant therapy led to improvement of hypertension. In previously reported cases of renal paradoxical embolism, multiorgan involvement was usually observed. Our case is unique in that embolism was confirmed only in the kidneys, and that clinical characteristics of renal embolism were not observed.
authors: Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita 010-8543, Japan.
authors: Mizuho
authors: M
authors: Nara
authors: Atsushi
authors: A
authors: Komatsuda
authors: Masumi
authors: M
authors: Fujishima
authors: Naohito
authors: N
authors: Fujishima
authors: Miho
authors: M
authors: Nara
authors: Takako
authors: T
authors: Iino
authors: Hiroshi
authors: H
authors: Ito
authors: Ken-ichi
authors: K
authors: Sawada
authors: Hideki
authors: H
authors: Wakui
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D019320:Embolism, Paradoxical / Q000150:complications*; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology*; D007238:Infarction / Q000150:complications / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D012083:Renin / Q000097:blood; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents; D012083:Renin