Clinical and Experimental Nephrology

, Volume 15, Issue 1, pp 147–150

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

Authors

  • Masaki Iwasaki
    • Division of NephrologyToho University Ohashi Medical Center
    • Division of NephrologyToho University Ohashi Medical Center
  • Yuri Tanaka
    • Division of NephrologyToho University Ohashi Medical Center
  • Hidehiko Hara
    • Division of Cardiovascular MedicineToho University Ohashi Medical Center
  • Makoto Suzuki
    • Division of Cardiovascular MedicineToho University Ohashi Medical Center
  • Hiroki Hase
    • Division of NephrologyToho University Ohashi Medical Center
Case Report

DOI: 10.1007/s10157-010-0354-4

Cite this article as:
Iwasaki, M., Joki, N., Tanaka, Y. et al. Clin Exp Nephrol (2011) 15: 147. doi:10.1007/s10157-010-0354-4

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.

Keywords

Renal infarctionParadoxical embolismValsalva maneuverPatent foramen ovale

Copyright information

© Japanese Society of Nephrology 2010