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논문분류	춘계학술대회 초록집
제목	Bilateral acute renal infarction in Eisenmenger's syndrome
저자	Sehyun Jung, Se-Ho Chang, Hyun-Jung Kim, Hyun Seop Cho, Ha Nee Jang, Dong Jun Park, TAE WON LEE, Eunjin Bae, Seunghye Lee
출판정보	2020; 2020(1):
키워드	Renal infarction \| Thrombectomy \| Eisenmenger’s syndrome
초록	Introduction: Bilateral acute renal infarction is a rare condition that can occur due to hypercoagulable state or cardiogenic problems. Pulmonary artery thrombus has been rarely reported in Eisenmenger’s syndrome, but renal infarction has not been reported. We report a rare case bilateral acute renal infarction with Eisenmenger’s syndrome. Case: A 52-year-old male with a history of with Eisenmenger’s syndrome and erythrocytosis presented to the emergency room with flank pain and vomiting. There were no abnormal findings on abdominal X-ray. And there was no history of nephrolithiasis. Laboratory studies on presentation showed an elevated serum creatinine concentration and microscopic hematuria. The hemoglobin level, troponin-I level, and lactate dehydrogenase level were elevated. Diagnostic tests were performed. Contrast-enhanced computed tomography revealed total occlusion in left main renal artery and right renal arterial branch. Immediately after diagnosis of acute bilateral renal infarction, we performed thrombolytics and aspiration thrombectomy on the left main renal artery. After the procedure, renal perfusion and abdominal pain were improved. And the creatinine level also improved from 3.05 to 1.48 milligram per deciliter.
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