A suspected case of paradoxical renal embolism through the patent foramen ovale

Clin Exp Nephrol. 2011 Feb;15(1):147-50. doi: 10.1007/s10157-010-0354-4. Epub 2010 Oct 20.

Abstract

We experienced a case of cryptogenic renal infarction in a previously healthy 60-year-old man. He had no systemic atherosclerotic changes. Holter monitoring revealed no atrial fibrillation. Transthoracic echocardiography showed no thrombus. Because the onset occurred while he was swinging a golf club (a similar maneuver to holding the breath), further examination was performed with a view to detecting paradoxical embolism through the foramen ovale. A positive bubble test with the Valsalva maneuver during transesophageal echocardiography led to the diagnosis of patent foramen ovale (PFO). This was a suspected case of paradoxical embolism through a PFO leading to renal infarction.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography, Transesophageal
  • Embolism, Paradoxical / diagnostic imaging
  • Embolism, Paradoxical / etiology*
  • Foramen Ovale, Patent / complications*
  • Foramen Ovale, Patent / diagnosis
  • Humans
  • Kidney / blood supply*
  • Kidney / diagnostic imaging
  • Male
  • Middle Aged
  • Renal Artery Obstruction / diagnostic imaging
  • Renal Artery Obstruction / etiology*
  • Tomography, X-Ray Computed
  • Valsalva Maneuver