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09:02
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
Acute renal infarction from a cardiac thrombus
Nicola J Nasser1, Sobhi Abadi, Zaher S Azzam
1Department of Internal Medicine B, Rambam Health Care Campus, Haifa 31096, Israel. nicola.nasser@gmail.com
Nature Clinical Practice. Nephrology
|October 25, 2007
Summary
A 53-year-old man experienced severe abdominal pain due to renal artery thromboembolism. This condition stemmed from his dilated cardiomyopathy and an intracardiac thrombus, requiring anticoagulation therapy.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- A 53-year-old male with a history of ischemic dilated cardiomyopathy presented with acute left upper abdominal pain.
- Initial presentation was managed conservatively, but symptoms recurred, necessitating further investigation.
Observation:
- Physical examination, electrocardiography, laboratory tests, contrast-enhanced computed tomography, and transesophageal echocardiography were performed.
- Diagnostic workup revealed findings consistent with renal artery thromboembolism.
Findings:
- The patient was diagnosed with renal artery thromboembolism secondary to dilated cardiomyopathy with severely reduced cardiac function and an intracardiac thrombus.
- This diagnosis highlights a rare but serious complication of cardiac dysfunction.
Implications:
- Prompt diagnosis and management are crucial for patients with cardiac conditions presenting with abdominal pain.
- Anticoagulation therapy is the mainstay of treatment for renal artery thromboembolism.
- Understanding the link between cardiomyopathy and thromboembolic events can improve patient outcomes.
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