Cardiology. 117(3):219–221, JANUARY 2011
DOI: 10.1159/000322510
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PMID: 21196730
Issn Print: 0008-6312
Publication Date: January 2011
Acute Kidney Infarction Secondary to Intracardiac Thrombus Embolization in a Patient with Ischemic Dilated Cardiomyopathy
Mehmet Can;İbrahim Tanboğa;Hacer Demircan;Alper Özkan;Fatih Koca;Nurşen Keleş;Kenan Sönmez;Cihangir Kaymaz;Victor Serebruany;
+ Author Information
aKartal Koşuyolu Heart and Research Hospital, Istanbul, Turkey; bJohns Hopkins University, Baltimore, Md., USA
Abstract
Acute renal infarction due to emboli represents a very rare but significant threat for kidney loss, and the clinical presentation is challenging. The differential diagnosis of massive renal thrombi includes all other causes of abdominal pain, and they can be easily misdiagnosed as renal colic due to nephrolithiasis. Although there are a few case reports regarding the possibility that cardiac emboli may cause acute kidney infarction, intracardiac thrombi within the ventricular cavity diagnosed by echocardiography as a cause of such renal artery occlusion have never been reported in patients with cardiomyopathy. Herein, we describe a 39-year-old male with a history of ischemic dilated cardiomyopathy. He was admitted to our hospital with left upper abdominal pain and vomiting. After serial examinations and tests, the diagnosis of acute renal infarction due to intracardiac thrombus embolization as a result of severely reduced cardiac function was made.Copyright © 2010 S. Karger AG, Basel
