caa a22 4500 445883367 CHVBK 20180317145551.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s10157-011-0436-y doi (NATIONALLICENCE)springer-10.1007/s10157-011-0436-y Renal paradoxical embolism in a hypertensive young adult without acute ischemic symptoms [Elektronische Daten] [Mizuho Nara, Atsushi Komatsuda, Masumi Fujishima, Naohito Fujishima, Miho Nara, Takako Iino, Hiroshi Ito, Ken-ichi Sawada, Hideki Wakui] A 22-year-old woman, who often carried heavy books, was admitted for evaluation of hyperreninemic hypertension. Two months prior to admission, she noted leg edema. Radiological examinations revealed bilateral renal infarction with no other abnormal findings. An echocardiography showed a patent foramen ovale (PFO). Hypertension was considered secondary to renal infarction caused by paradoxical embolism through PFO. Antihypertensive and anticoagulant therapy led to improvement of hypertension. In previously reported cases of renal paradoxical embolism, multiorgan involvement was usually observed. Our case is unique in that embolism was confirmed only in the kidneys, and that clinical characteristics of renal embolism were not observed. Japanese Society of Nephrology, 2011 Hyperreninemic hypertension nationallicence Paradoxical embolism nationallicence Patent foramen ovale nationallicence Renal infarction nationallicence Nara Mizuho Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Komatsuda Atsushi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Fujishima Masumi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Fujishima Naohito Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Nara Miho Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Iino Takako Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine, Akita, Japan aut Ito Hiroshi Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine, Akita, Japan aut Sawada Ken-ichi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Wakui Hideki Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut Clinical and Experimental Nephrology Springer Japan 15/4(2011-08-01), 582-585 1342-1751 15:4<582 2011 15 10157 https://doi.org/10.1007/s10157-011-0436-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-011-0436-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nara Mizuho Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Komatsuda Atsushi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Fujishima Masumi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Fujishima Naohito Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Nara Miho Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Iino Takako Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine, Akita, Japan aut NATIONALLICENCE 700 1- Ito Hiroshi Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine, Akita, Japan aut NATIONALLICENCE 700 1- Sawada Ken-ichi Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 700 1- Wakui Hideki Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, 010-8543, Akita, Akita, Japan aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/4(2011-08-01), 582-585 1342-1751 15:4<582 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer