Vacuum-Assisted Thrombo-Aspiration for Paradoxical Embolism in Left Renal Artery: A Case Report and Literature Review

Paradoxical embolism through the foramen ovale is a rare and devastating event requiring urgent treatment. Herein, we present the case of a 23-year-old male who presented with a pulmonary embolism complicated by a left renal artery paradoxical embolism. Urgent vacuum-assisted thrombo-aspiration rest...

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Bibliographic Details
Published in:	Vascular specialist international Vol. 40; p. 21
Main Authors:	Diamantopoulos-Kogkas, Dimitrios, Georgiou, Pavlos, Pitros, Christos, Papageorgopoulou, Chrysanthi, Papasotiriou, Marios, Karydis, Nikolaos, Koutsoyiannis, Nikolaos, Mougiou, Athina, Katsanos, Konstantinos, Papadoulas, Spyros
Format:	Journal Article
Language:	English
Published:	Medrang 25-06-2024 대한혈관외과학회
Subjects:	embolism foramen ovale paradoxical renal thrombectomy 일반외과학
Online Access:	Get full text
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Summary:	Paradoxical embolism through the foramen ovale is a rare and devastating event requiring urgent treatment. Herein, we present the case of a 23-year-old male who presented with a pulmonary embolism complicated by a left renal artery paradoxical embolism. Urgent vacuum-assisted thrombo-aspiration restored normal perfusion of the left kidney within 5 hours. The patient had a patent foramen ovale and heterozygous thrombophilia. However, a radioisotopic scan performed 2 years later revealed an unexpected decrease in left renal perfusion. Therefore, despite the angiographic success, functional evaluation using a renal scan should be performed to assess renal function.
ISSN:	2288-7970 2288-7989
DOI:	10.5758/vsi.240022