Vacuum-Assisted Thrombo-Aspiration for Paradoxical Embolism in Left Renal Artery:A Case Report and Literature Review
- Author:
Dimitrios DIAMANTOPOULOS-KOGKAS
1
;
Pavlos GEORGIOU
;
Christos PITROS
;
Chrysanthi PAPAGEORGOPOULOU
;
Marios PAPASOTIRIOU
;
Nikolaos KARYDIS
;
Nikolaos KOUTSOYIANNIS
;
Athina MOUGIOU
;
Konstantinos KATSANOS
;
Spyros PAPADOULAS
Author Information
- Publication Type:Case report
- From:Vascular Specialist International 2024;40(2):21-
- CountryRepublic of Korea
- Language:English
- Abstract: Paradoxical embolism through the foramen ovale is a rare and devastating event requiring urgent treatment. Herein, we present the case of a 23-year-old male who presented with a pulmonary embolism complicated by a left renal artery paradoxical embolism. Urgent vacuum-assisted thrombo-aspiration restored normal perfusion of the left kidney within 5 hours. The patient had a patent foramen ovale and heterozygous thrombophilia. However, a radioisotopic scan performed 2 years later revealed an unexpected decrease in left renal perfusion. Therefore, despite the angiographic success, functional evaluation using a renal scan should be performed to assess renal function.
