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Renal paradoxical embolism in a hypertensive young adult without acute ischemic symptoms

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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.

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Conflict of interest

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Authors and Affiliations

  1. Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan

    Mizuho Nara, Atsushi Komatsuda, Masumi Fujishima, Naohito Fujishima, Miho Nara, Ken-ichi Sawada & Hideki Wakui

  2. Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine, Akita, Japan

    Takako Iino & Hiroshi Ito

Authors
  1. Mizuho Nara
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  2. Atsushi Komatsuda
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  3. Masumi Fujishima
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  4. Naohito Fujishima
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  5. Miho Nara
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  6. Takako Iino
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  7. Hiroshi Ito
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  8. Ken-ichi Sawada
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  9. Hideki Wakui
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Corresponding author

Correspondence to Atsushi Komatsuda.

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Nara, M., Komatsuda, A., Fujishima, M. et al. Renal paradoxical embolism in a hypertensive young adult without acute ischemic symptoms. Clin Exp Nephrol 15, 582–585 (2011). https://doi.org/10.1007/s10157-011-0436-y

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  • DOI: https://doi.org/10.1007/s10157-011-0436-y

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