Organ transplants do not escape paradoxical embolisms.
Acute renal allograft dysfunction in the first weeks after transplantation primarily requires examination for acute rejection, drug-associated injury, pre-renal failure due to exsiccosis/dehydration, and post-renal problems such as urinary tract obstruction. In rare instances, main renal artery or vein thrombosis may be found, e.g. due to acute rejection of the vessels. Herein, we describe the clinical course of a patient with a recent renal transplantation who presented with an acute enigmatic renal allograft failure which, after intensive diagnostic efforts, emerged as paradoxical embolism with extensive allograft ischemia in consequence of a venous thrombosis and a patent foramen ovale - a so far unreported case.
Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany. haghikia.arash@mh-hannover.de
Arash
A
Haghikia
Marcus
M
Hiss
Kristina Imeen
KI
Ringe
Eva
E
Schoenenberger
Dieter
D
Fischer
Hermann
H
Haller
Wilfried
W
Gwinner
D019320:Embolism, Paradoxical / Q000150:complications / Q000175:diagnosis*; D054092:Foramen Ovale, Patent / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D055031:Primary Graft Dysfunction / Q000209:etiology*