A Case of Renal Infarction with Arterial Thromboembolism.
- Author:
Young Chul LEE
1
;
Kang Nyeong LEE
;
Sang Bong AHN
;
Jee Hyun KIM
;
Joon Sung PARK
;
Nak Won CHOI
;
Chang Hwa LEE
;
Gheun Ho KIM
;
Chong Myung KANG
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. kangjm@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Renal infarction;
Atrial fibrillation;
Renal transplantation
- MeSH:
Aspirin;
Atrial Fibrillation;
Cyclosporine;
Fever;
Heart;
Heparin;
Humans;
Iliac Artery;
Infarction*;
Ischemia;
Kidney;
Kidney Transplantation;
Middle Aged;
Oliguria;
Postoperative Period;
Prednisolone;
Renal Artery;
Renal Dialysis;
Thromboembolism*
- From:The Journal of the Korean Society for Transplantation
2007;21(2):298-301
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal infarction in transplant kidney is an very uncommon post-transplant complication, and usually occurs in the early postoperative period. Thromboemboli to the renal arteries usually originate from the heart, e.g. atrial fibrillation. This paper reports a 64-year-old man who had total occlusion of transplanted renal artery after 9 years from transplantation. His medicines included cyclosporine, prednisolone, aspirin, clopidogrel, and propranlol. Our patient presented with fever, oliguria, and left costovertebral angle tenderness, three days ago. Abdominal computed tomography (CT) revealed total occlusion of transplanted renal artery and right common iliac artery. Preservation of renal function is inversely proportional to the period of renal ischemia. Our patient was treated with heparinization. Remnant renal function was lost, he has been treated with hemodialysis.
